Healthcare Provider Details

I. General information

NPI: 1578173209
Provider Name (Legal Business Name): HEATHER RYAN KARNES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2020
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 HARDING PIKE
NASHVILLE TN
37205-2005
US

IV. Provider business mailing address

4430 HEATH RD
NASHVILLE TN
37221-6601
US

V. Phone/Fax

Practice location:
  • Phone: 615-222-2111
  • Fax:
Mailing address:
  • Phone: 832-754-5373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number0000190824
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28532
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: