Provider Demographics
NPI:1184757221
Name:REED, KAREN LEANN (RN)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LEANN
Last Name:REED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:LEANN
Other - Last Name:GRISSOM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:428 CANTON RD
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-2002
Mailing Address - Country:US
Mailing Address - Phone:770-781-6900
Mailing Address - Fax:770-781-6929
Practice Address - Street 1:428 CANTON RD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2002
Practice Address - Country:US
Practice Address - Phone:770-781-6900
Practice Address - Fax:770-781-6929
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN142125163WP0808X
GARN191229163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health