Individual
MRS. KAREN JEWELL WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 BUFFALO STREET, JOHNSON CITY, TN 37604
(423) 232-4130
Mailing address
1660 DAWSON AVE, BIG STONE GAP, VA 24219
(276) 393-1198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001201211
VA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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