Healthcare Provider Details

I. General information

NPI: 1194814921
Provider Name (Legal Business Name): KARYN DEAN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARYN COHENOUR APN

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 E REELFOOT AVE
UNION CITY TN
38261-5850
US

IV. Provider business mailing address

1516 E REELFOOT AVE
UNION CITY TN
38261-5850
US

V. Phone/Fax

Practice location:
  • Phone: 731-886-8662
  • Fax: 731-884-0240
Mailing address:
  • Phone: 731-886-8662
  • Fax: 731-884-0240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number20341
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: