Healthcare Provider Details

I. General information

NPI: 1992213763
Provider Name (Legal Business Name): KAREN W PERKINS R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN JO WARF

II. Dates (important events)

Enumeration Date: 01/16/2018
Last Update Date: 01/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2574 FRAYSER BLVD
MEMPHIS TN
38127-5829
US

IV. Provider business mailing address

6350 W ANDREW JOHNSON HWY DEPT 100
TALBOTT TN
37877-8605
US

V. Phone/Fax

Practice location:
  • Phone: 901-302-4361
  • Fax: 865-342-0121
Mailing address:
  • Phone: 800-355-3565
  • Fax: 423-714-2355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN125484
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: