Provider Demographics
NPI:1073917902
Name:ROSE, KAREN R (FNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:ROSE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:30 BURTON HILLS BLVD
Mailing Address - Street 2:STE 175
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-6403
Mailing Address - Country:US
Mailing Address - Phone:615-988-2014
Mailing Address - Fax:615-208-1303
Practice Address - Street 1:6120 ALABAMA HWY
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736
Practice Address - Country:US
Practice Address - Phone:706-935-6442
Practice Address - Fax:706-935-6441
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2019-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN134082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily