Carol Stephens Purcell, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Reserve, LA
NPI 1821350877 · NPPES record last updated Jun 14, 2012
Key facts
- NPI
- 1821350877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- TAP002864 (LA)
- Practice address
- 147 Central Ave
Reserve, LA 70084-6001 - Phone
- (985) 536-2605
- Fax
- (985) 536-8388
- NPI assigned
- Jun 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TAP002864 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Center of Reserve | Current |
Accepting new patients | |
| Robert C Albrecht MD | Past |
Accepting new patients |
Locations
147 Central Ave
Reserve, LA 70084
Phone (985) 536-2605
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | TAP002864 | LA | Yes |
Addresses
Primary practice location
147 Central Ave
Reserve, LA 70084-6001
Mailing address
147 Central Ave
Reserve, LA 70084-6001
Phone (985) 536-2605
Other providers in Reserve, LA
- Randy Mire
- Sedera Montgomery
- Jodi Naukam
- New Orleans Vamc
- Brittany S Phillip
- Robert C Albrecht MD
- Patrice Edwards Robinson
- Keneitra Brown Roussell
- Elizabeth Rousseve
- Olivia Nicole Schouest
All providers in Reserve, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.