Healthcare Provider Details

I. General information

NPI: 1457380032
Provider Name (Legal Business Name): KAREN KEOWN HUSSEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN MICHELLE KEOWN RN

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TAMPA GENERAL CIR
TAMPA FL
33606-3571
US

IV. Provider business mailing address

1 TAMPA GENERAL CIR
TAMPA FL
33606-3571
US

V. Phone/Fax

Practice location:
  • Phone: 813-844-8951
  • Fax: 813-844-6901
Mailing address:
  • Phone: 813-844-8951
  • Fax: 813-281-8656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number9211732
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP9211732
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: