Healthcare Provider Details

I. General information

NPI: 1154612190
Provider Name (Legal Business Name): KAREN WISDOM-CHAMBERS NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN WISDOM-CHAMBERS ARNP, FNP, PMHNP

II. Dates (important events)

Enumeration Date: 04/25/2011
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 OSCEOLA DR
WEST PALM BEACH FL
33409-5038
US

IV. Provider business mailing address

9123 N MILITARY TRL #102
WEST PALM BEACH FL
33410-5990
US

V. Phone/Fax

Practice location:
  • Phone: 561-803-8080
  • Fax: 877-409-1795
Mailing address:
  • Phone: 561-630-9339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberME95871
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberARNP9197904
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9197904
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberARNP9197904
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9197904
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: