Individual
LAUREN KAY CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, MSN, NP-C
Contact information
Practice address
1732 W NORTH ST, KENDALLVILLE, IN 46755-2850
(931) 253-1110
Mailing address
PO BOX 306417, NASHVILLE, TN 37230-6417
(931) 253-1110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28191695A
IN
363LF0000X
Family Nurse Practitioner
Primary
71014228A
IN
Other
Enumeration date
09/25/2007
Last updated
12/20/2023
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