Healthcare Provider Details
I. General information
NPI: 1982864443
Provider Name (Legal Business Name): KAREN D COWAN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/09/2008
Last Update Date: 10/19/2025
Certification Date: 10/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5671 PEACHTREE DUNWOODY RD
ATLANTA GA
30342-5000
US
IV. Provider business mailing address
5671 PEACHTREE DUNWOODY RD STE 520
ATLANTA GA
30342-5005
US
V. Phone/Fax
- Phone: 678-843-5801
- Fax: 678-843-7746
- Phone: 678-843-5801
- Fax: 678-843-7746
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN-NP141005 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: