Individual provider · Type 1 NPI

Dustin Ross Carlisle, NP-C

Family Nurse Practitioner · Shreveport, LA

NPI number 1083467104 Active

Practice location

1811 E Bert Kouns Industrial Loop Ste 210
Shreveport, LA 71105-5740

Fax (318) 212-3958

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X232197 (LA)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1083467104

Dustin Ross Carlisle, NP-C's National Provider Identifier is 1083467104, issued on Apr 9, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shreveport, LA. The record was last updated on Nov 5, 2024.