Healthcare Provider Details
I. General information
NPI: 1740772201
Provider Name (Legal Business Name): KAREN M COLE-GEORGE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/31/2018
Last Update Date: 05/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1718 PATTERSON ST
NASHVILLE TN
37203-2926
US
IV. Provider business mailing address
812 W NOCTURNE DR
NASHVILLE TN
37207-4200
US
V. Phone/Fax
- Phone: 615-306-9380
- Fax:
- Phone: 757-589-3705
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | 23837 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | 23837 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: