Provider Demographics
NPI:1598039539
Name:VICKERS, KAREN WATSON (MSN, RN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:WATSON
Last Name:VICKERS
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Gender:F
Credentials:MSN, RN, FNP-C
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Mailing Address - Street 1:10208 CERNY ST STE 210
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-7885
Mailing Address - Country:US
Mailing Address - Phone:919-457-0340
Mailing Address - Fax:919-806-8878
Practice Address - Street 1:2530 MERIDIAN PKWY STE 300
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-5273
Practice Address - Country:US
Practice Address - Phone:984-257-7565
Practice Address - Fax:984-257-0190
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2023-02-08
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Provider Licenses
StateLicense IDTaxonomies
NC5005535363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care