Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 30103 | TN |
NPI | 1023783594 |
---|---|
Provider Name | Mrs. Karen Candace Norrod |
First Address | Cookeville, TN 38501-4502 |
Second Address | Cookeville, TN 38501-5067 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2021 |
Last Update Date | 16/08/2021 |