Provider Demographics
NPI:1487972519
Name:SMITH, KAREN DEAN (RN, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:DEAN
Last Name:SMITH
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:WYNN
Other - Last Name:DEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10607 DEERBROOK DR
Mailing Address - Street 2:SEASONS OF FARRAGUT
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922
Mailing Address - Country:US
Mailing Address - Phone:865-675-9355
Mailing Address - Fax:865-675-9630
Practice Address - Street 1:10607 DEERBROOK DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922
Practice Address - Country:US
Practice Address - Phone:865-675-9355
Practice Address - Fax:865-675-9630
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6990270363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner