Wyatt, Karen

Wyatt, Karen is an individual health care provider with primary practice located at 2863 Highway 45 Byp , Jackson TN 38305-3618. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wyatt, Karen can be contacted via phone (731) 664-1375.

Contact Information

Primary practice address
2863 Highway 45 Byp Jackson TN 38305-3618
Phone: (731) 664-1375
Fax: (731) 664-1378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN5390 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5930 Tennessee

Profile Details

NPI number 1861460222
LBN Legal business name Wyatt, Karen
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 29th, 2012 - about 12 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 1861460222 NPPES
Tennessee MEDICAID 3900756

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