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NPI Code Detail

MEDICARE: MS. CARLY SUZANNE ERNST NP-C

MEDICARE: MS. CARLY SUZANNE ERNST NP-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
1363LF0000XFamily Nurse PractitionerAP120012TX

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 : 1649554064
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CARLY SUZANNE ERNST NP-C
Provider Business Mailing Address
First Line : 333 COMMERCE ST
Second Line : SUITE 360
City : NASHVILLE
State : TN
Zip : 37201-1826
Country : US
Telephone Number : 615-913-5086
Fax Number : 888-494-2588
Provider Business Practice Location Address
First Line : 301 MAIN ST STE 2200
Second Line :
City : BATON ROUGE
State : LA
Zip : 70801-0014
Country : US
Telephone Number : 225-442-3597
Fax Number : 855-737-5542
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2011
Last Update Date : 09/11/2025

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