Provider Demographics
NPI:1811955107
Name:KARIM, KERI (CPNP)
Entity type:Individual
Prefix:
First Name:KERI
Middle Name:
Last Name:KARIM
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:KHARIUNNISSA
Other - Middle Name:
Other - Last Name:KARIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3438 UNION PARK DR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-6206
Mailing Address - Country:US
Mailing Address - Phone:817-455-9690
Mailing Address - Fax:
Practice Address - Street 1:1365 CLIFTON RD NE
Practice Address - Street 2:BUILDING A
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-778-3381
Practice Address - Fax:404-778-4295
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN174611207Y00000X, 363LP0222X
GAKARI-0441-7182363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal