Individual
CARRIE A. CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6525
(601) 984-5151
Mailing address
678 FSR 563B, MORTON, MS 39117-5335
(601) 984-6525
(601) 984-5151
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
Primary
R859589
MS
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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