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NPI Code Detail

MEDICARE: LEOLA M CARTER APRN, FNP-C

MEDICARE: LEOLA M CARTER APRN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN075287LA
2363L00000XNurse PractitionerRN075287-AP06641LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609158047
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEOLA M CARTER APRN, FNP-C
Provider Business Mailing Address
First Line : 7373 PERKINS RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4373
Country : US
Telephone Number : 225-246-9790
Fax Number : 225-246-9100
Provider Business Practice Location Address
First Line : 7373 PERKINS RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4373
Country : US
Telephone Number : 225-769-4044
Fax Number : 225-246-9100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2011
Last Update Date : 05/16/2019

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