Provider Demographics
NPI:1891292249
Name:THOMPSON, KAREN JEAN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:JEAN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:
Mailing Address - City:CAVE SPRING
Mailing Address - State:GA
Mailing Address - Zip Code:30124-0458
Mailing Address - Country:US
Mailing Address - Phone:706-749-4900
Mailing Address - Fax:706-749-4901
Practice Address - Street 1:15 CEDARTOWN ST SW
Practice Address - Street 2:SUITE A
Practice Address - City:CAVE SPRING
Practice Address - State:GA
Practice Address - Zip Code:30124-2703
Practice Address - Country:US
Practice Address - Phone:706-749-4900
Practice Address - Fax:706-749-4901
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2021-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN223647363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner