Healthcare Provider Details

I. General information

NPI: 1932541885
Provider Name (Legal Business Name): SHELITA SMITH CARR APRN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2013
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8321 LAFITTE CT STE 107
CHALMETTE LA
70043-4322
US

IV. Provider business mailing address

8321 LAFITTE CT STE 107
CHALMETTE LA
70043-4322
US

V. Phone/Fax

Practice location:
  • Phone: 504-756-8780
  • Fax:
Mailing address:
  • Phone: 504-756-8780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number105175-7460
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP07460
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: