Provider Demographics
NPI:1972855161
Name:EVERETT, KAREN FARMER (FNP - BC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:FARMER
Last Name:EVERETT
Suffix:
Gender:F
Credentials:FNP - BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 PERSHING HWY
Mailing Address - Street 2:
Mailing Address - City:SMACKOVER
Mailing Address - State:AR
Mailing Address - Zip Code:71762
Mailing Address - Country:US
Mailing Address - Phone:870-725-3471
Mailing Address - Fax:870-825-3041
Practice Address - Street 1:1400 PERSHING HWY
Practice Address - Street 2:
Practice Address - City:SMACKOVER
Practice Address - State:AR
Practice Address - Zip Code:71762
Practice Address - Country:US
Practice Address - Phone:870-725-3471
Practice Address - Fax:870-825-3041
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA003777363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily