Provider Demographics
NPI:1255677191
Name:BARIS, KAREN JEANNE (APN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:JEANNE
Last Name:BARIS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 WEST 7TH STREET
Mailing Address - Street 2:7 B 109
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5484
Mailing Address - Country:US
Mailing Address - Phone:501-257-5955
Mailing Address - Fax:501-257-6179
Practice Address - Street 1:4300 WEST 7TH STREET
Practice Address - Street 2:7B 109
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5484
Practice Address - Country:US
Practice Address - Phone:501-257-5955
Practice Address - Fax:501-257-6179
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA03695363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health