Provider Demographics
NPI:1649766122
Name:JAWED, KAREN PAULA (RN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:PAULA
Last Name:JAWED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 SERPENTINE LN
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-1647
Mailing Address - Country:US
Mailing Address - Phone:631-873-9171
Mailing Address - Fax:
Practice Address - Street 1:205 SERPENTINE LN
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-1647
Practice Address - Country:US
Practice Address - Phone:631-873-9171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-08
Last Update Date:2018-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY678109163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse