Healthcare Provider Details

I. General information

NPI: 1457470015
Provider Name (Legal Business Name): KAREN PHILLIPS BEETS F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 12/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7701 CORRYTON RD
CORRYTON TN
37721-2630
US

IV. Provider business mailing address

PO BOX 565
MAYNARDVILLE TN
37807-0565
US

V. Phone/Fax

Practice location:
  • Phone: 865-247-6263
  • Fax: 865-992-8103
Mailing address:
  • Phone: 865-992-3031
  • Fax: 865-992-8103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0000006290
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: