Individual
KAREN STALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
323 CLOVERLEAF SQ, #1, BIG STONE GAP, VA 24219-2760
(276) 523-6715
(276) 523-6715
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP0024107007
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007786409
—
VA
05
—
78004983
—
KY
Enumeration date
08/04/2006
Last updated
08/09/2024
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