Individual
KAREN JANE PHILLIPS-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
124 LAKE CREST DR, LENOIR CITY, TN 37772-3825
(865) 986-4405
Mailing address
124 LAKE CREST DR, LENOIR CITY, TN 37772-3825
(865) 986-4405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN68495/APN9345
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3604909
—
TN
01
—
4118625
BCBS TN
TN
Enumeration date
06/05/2006
Last updated
03/25/2009
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