Provider Demographics
NPI:1508836602
Name:KARR, NANCE C (FNP-C)
Entity Type:Individual
Prefix:
First Name:NANCE
Middle Name:C
Last Name:KARR
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7820 HICKORY FLAT HWY
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-2099
Mailing Address - Country:US
Mailing Address - Phone:770-704-4911
Mailing Address - Fax:770-704-4922
Practice Address - Street 1:7820 HICKORY FLAT HWY
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-2099
Practice Address - Country:US
Practice Address - Phone:770-704-4911
Practice Address - Fax:770-704-4922
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAR09147363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAS35624Medicare UPIN
GA50BBCKHMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER