Provider Demographics
NPI:1902819501
Name:WEBB, KAREN B (FNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:B
Last Name:WEBB
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 S. BELLS ST
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TN
Mailing Address - Zip Code:38001
Mailing Address - Country:US
Mailing Address - Phone:731-696-5401
Mailing Address - Fax:731-696-5404
Practice Address - Street 1:58 S. BELLS ST
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TN
Practice Address - Zip Code:38001
Practice Address - Country:US
Practice Address - Phone:731-696-5401
Practice Address - Fax:731-696-5404
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000006899363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4032617OtherBCBST
TN500022963OtherRAIL ROAD MEDICARE
TN3346383Medicaid
TN3346383Medicaid
TN3346383Medicare PIN