Individual
KAREN R EMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1123 N MAIN ST, DYER, TN 38330-1019
(731) 692-2853
(731) 692-2367
Mailing address
1123 N MAIN ST, DYER, TN 38330-1019
(731) 692-2853
(731) 692-2367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000005353
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169538
UNISON
TN
01
—
34689
MEMPHIS MANAGED CARE (TLC
TN
05
—
3902307
—
TN
05
—
3902308
—
TN
01
—
4104763
BLUE CROSS BLUE SHIELD TN
TN
01
—
4130757
BLUE CROSS BLUE SHEILD TN
—
Enumeration date
06/01/2006
Last updated
12/21/2023
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