Provider Demographics
NPI:1003422155
Name:HOLMAN, KAREN SOWERS (APRN-CNP/FNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SOWERS
Last Name:HOLMAN
Suffix:
Gender:F
Credentials:APRN-CNP/FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CROSSETT
Mailing Address - State:AR
Mailing Address - Zip Code:71635-4103
Mailing Address - Country:US
Mailing Address - Phone:870-364-3617
Mailing Address - Fax:
Practice Address - Street 1:127 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:CROSSETT
Practice Address - State:AR
Practice Address - Zip Code:71635-4103
Practice Address - Country:US
Practice Address - Phone:870-364-3617
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR212919363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily