Provider Demographics
NPI:1477633253
Name:TOUCHSTONE, KAREN A (CFNP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:TOUCHSTONE
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 445
Mailing Address - Street 2:
Mailing Address - City:BUDE
Mailing Address - State:MS
Mailing Address - Zip Code:39630-0445
Mailing Address - Country:US
Mailing Address - Phone:601-384-5801
Mailing Address - Fax:601-384-4100
Practice Address - Street 1:136 MAIN ST N
Practice Address - Street 2:
Practice Address - City:BUDE
Practice Address - State:MS
Practice Address - Zip Code:39630-7117
Practice Address - Country:US
Practice Address - Phone:601-384-5801
Practice Address - Fax:601-384-4100
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR623741363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05753720Medicaid
MS302I507890Medicare PIN