Healthcare Provider Details

I. General information

NPI: 1023480282
Provider Name (Legal Business Name): KAREN DILLARD NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2015
Last Update Date: 12/30/2019
Certification Date: 12/30/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 NORLAND AVE STE 100
CHAMBERSBURG PA
17201-4235
US

IV. Provider business mailing address

785 5TH AVE STE 3
CHAMBERSBURG PA
17201-4232
US

V. Phone/Fax

Practice location:
  • Phone: 717-264-1600
  • Fax: 717-264-6319
Mailing address:
  • Phone: 717-263-9555
  • Fax: 717-217-4218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP019840
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: