Individual
MRS. DEBORAH ANN CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
951 US HIGHWAY 80 W, DEMOPOLIS, AL 36732-4102
(334) 289-9982
(334) 287-0479
Mailing address
PO BOX 306, DEMOPOLIS, AL 36732-0306
(334) 289-9982
(334) 287-0479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-064520
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051009367
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
01/21/2009
Last updated
01/21/2009
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