Provider Demographics
NPI:1841581865
Name:DJERNES, KARISTEN ROCHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:KARISTEN
Middle Name:ROCHELLE
Last Name:DJERNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6059 ARBURY WAY
Mailing Address - Street 2:STE 101
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363
Mailing Address - Country:US
Mailing Address - Phone:423-238-8880
Mailing Address - Fax:423-238-8881
Practice Address - Street 1:6059 ARBURY WAY
Practice Address - Street 2:STE 101
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363
Practice Address - Country:US
Practice Address - Phone:423-238-8880
Practice Address - Fax:423-238-8881
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2015-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN50851207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine