| Doctor Name: | MS. KAREN A. BOONE |
| NPI Number: | 1144464082 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MS, PMHCNS |
| License Number: | 209.006636 |
| Business Practice Address: | 1005 Health Center Drive, Suite 102 Sarah Bush Lincoln Health Center Mattoon, IL - 61938 |
| Business Phone Number: | 2172584042 |
| Business Fax Number: | 2172584053 |
| Mailing Address: | 1005 Health Center Drive, Suite 102, Sarah Bush Lincoln Health Center MATTOON |
| State: | IL |
| Postal Code: | 61938 |
| Phone Number: | 2172584042 |
| Fax Number: | 2172584053 |
| NPI Enumeration Date: | 04/22/2009 |
| NPI Last Update Date: | 07/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | 209.006636 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |