Healthcare Provider Details

I. General information

NPI: 1811852999
Provider Name (Legal Business Name): ELIZABETH BARBARA CARLISLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 BROWN ST
WASHINGTON NC
27889-4671
US

IV. Provider business mailing address

403 CONNER GRANT RD
NEW BERN NC
28562-9811
US

V. Phone/Fax

Practice location:
  • Phone: 252-946-4134
  • Fax:
Mailing address:
  • Phone: 786-944-6949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5023676
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: