Provider Demographics
NPI:1780665646
Name:BROWN JONES, KAREN (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:BROWN JONES
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 1:3414 SIX FORKS RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7234
Mailing Address - Country:US
Mailing Address - Phone:919-783-0200
Mailing Address - Fax:919-783-0203
Practice Address - Street 1:3414 SIX FORKS RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7234
Practice Address - Country:US
Practice Address - Phone:919-783-0200
Practice Address - Fax:919-783-0203
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201197363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC202774AMedicare UPIN
NC5919152Medicaid