Individual
MRS. KAREN A. DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
303 TAKOMA AVE, GREENEVILLE, TN 37743-4629
(423) 636-0491
(423) 636-2425
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3087
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
APRN0000005459
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
42770
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512779
—
TN
01
—
P01417880
MEDICARE RR
TN
Enumeration date
12/08/2006
Last updated
06/17/2015
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