Doctor Name: | KAREN L DEAL |
NPI Number: | 1093856767 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | RN135390NP |
Business Practice Address: | 1601 Fair Rd Suite 600 Statesboro, GA - 304581698 |
Business Phone Number: | 9126814911 |
Business Fax Number: | |
Mailing Address: | 14473 Old River Rd N, STATESBORO |
State: | GA |
Postal Code: | 304618416 |
Phone Number: | 9125314254 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 02/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN135390NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |