Provider Demographics
NPI:1740514033
Name:ADKISSON, KAREN SUE (FNP)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:SUE
Last Name:ADKISSON
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 1:3319 CHARTREUSE WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-6857
Mailing Address - Country:US
Mailing Address - Phone:281-679-9919
Mailing Address - Fax:
Practice Address - Street 1:3319 CHARTREUSE WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-6857
Practice Address - Country:US
Practice Address - Phone:281-679-9919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX524575363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily