Healthcare Provider Details
I. General information
NPI: 1972677961
Provider Name (Legal Business Name): KAREN THIGPEN ROWAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/20/2006
Last Update Date: 09/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2861 TRENT RD
NEW BERN NC
28562-2029
US
IV. Provider business mailing address
2861 TRENT RD
NEW BERN NC
28562-2029
US
V. Phone/Fax
- Phone: 252-637-7860
- Fax: 252-638-7865
- Phone: 252-637-7860
- Fax: 252-638-7865
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 5002424 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 5002424 |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | 215112 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: