Provider Demographics
NPI:1659110724
Name:FALLIN, KARALYN MORGAN (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:KARALYN
Middle Name:MORGAN
Last Name:FALLIN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:KARALYN
Other - Middle Name:MORGAN
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:131 HUNTERS WAY
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:TN
Mailing Address - Zip Code:37307-4237
Mailing Address - Country:US
Mailing Address - Phone:863-255-4786
Mailing Address - Fax:
Practice Address - Street 1:2279 PARKSVILLE RD
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:TN
Practice Address - Zip Code:37307-3803
Practice Address - Country:US
Practice Address - Phone:423-338-4533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN247400163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse