Provider Demographics
NPI:1376553719
Name:LUKER, KARLA E S (APN)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:E S
Last Name:LUKER
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 1:108 DAVID COLLINS DR
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-2813
Mailing Address - Country:US
Mailing Address - Phone:615-355-6175
Mailing Address - Fax:615-459-7996
Practice Address - Street 1:108 DAVID COLLINS DR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-2813
Practice Address - Country:US
Practice Address - Phone:615-355-6175
Practice Address - Fax:615-459-7996
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000093906363L00000X
TNAPN0000011774363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3341670Medicare PIN