Provider Demographics
NPI:1184046740
Name:APONE, KARYN L (APRN)
Entity type:Individual
Prefix:
First Name:KARYN
Middle Name:L
Last Name:APONE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KARYN
Other - Middle Name:
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1109 BURLEYSON RD STE 202
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-3094
Mailing Address - Country:US
Mailing Address - Phone:706-259-3336
Mailing Address - Fax:706-370-7715
Practice Address - Street 1:1109 BURLEYSON RD STE 202
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-3094
Practice Address - Country:US
Practice Address - Phone:706-259-3336
Practice Address - Fax:706-370-7715
Is Sole Proprietor?:No
Enumeration Date:2014-01-15
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18168363LF0000X
GARN139914363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN18168OtherAPN LICENSE
GARN139914OtherAPN LIC