Dewitt, Karen A.

Dewitt, Karen A. is an individual health care provider with primary practice located at 303 Takoma Ave , Greeneville TN 37743-4629. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dewitt, Karen A. can be contacted via phone (423) 636-0491.

Contact Information

Primary practice address
303 Takoma Ave Greeneville TN 37743-4629
Phone: (423) 636-0491
Fax: (423) 636-2425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X APRN0000005459 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 42770 Tennessee

Profile Details

NPI number 1700945185
LBN Legal business name Dewitt, Karen A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Jun 17th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700945185 NPPES
Tennessee Other P01417880 MEDICARE RR
Tennessee MEDICAID 1512779 MEDICARE RR

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