Phillips-Wilson, Karen Jane

Phillips-Wilson, Karen Jane is an individual health care provider with primary practice located at 124 Lake Crest Dr , Lenoir City TN 37772-3825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Phillips-Wilson, Karen Jane can be contacted via phone (865) 986-4405.

Contact Information

Primary practice address
124 Lake Crest Dr Lenoir City TN 37772-3825
Phone: (865) 986-4405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN68495/APN9345 Tennessee

Profile Details

NPI number 1619916988
LBN Legal business name Phillips-Wilson, Karen Jane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 25th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619916988 NPPES
Tennessee MEDICAID 3604909
Tennessee Other 4118625

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