Doctor Name: | MS. KAREN SUE GREGG |
NPI Number: | 1083989933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 55458 |
Business Practice Address: | 3920 Highway 81 S Jonesborough, TN - 376597138 |
Business Phone Number: | 4234831221 |
Business Fax Number: | |
Mailing Address: | 3920 Highway 81 S, JONESBOROUGH |
State: | TN |
Postal Code: | 376597138 |
Phone Number: | 4234831221 |
Fax Number: | |
NPI Enumeration Date: | 03/11/2012 |
NPI Last Update Date: | 03/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WD1100X |
License Number: | 55458 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Dialysis, Peritoneal |
Taxonomy Definition: |