Individual
SHENELLA LATOSHA CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
550 PONDEROSA DR, CAMDEN, AL 36726-2313
(334) 213-8803
Mailing address
PO BOX 231396, MONTGOMERY, AL 36123-1396
(334) 213-8803
(334) 213-8815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1074183
TX
363LF0000X
Family Nurse Practitioner
1121592
AL
363LF0000X
Family Nurse Practitioner
33646
TN
363LF0000X
Family Nurse Practitioner
Primary
5381050071
KS
Other
Enumeration date
10/31/2017
Last updated
01/30/2026
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