| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KAREN ANN CHAVIS | 1881247708 | 2023-11-01 |
Karen Ann Chavis [F] graduated in 2019 and primarily specializes in Nurse Practitioner.
Karen Ann Chavis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881247708. Registration indicates Karen Ann Chavis is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 5799114831 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Karen Ann Chavis FNP-C |
| Other Provider Name | Karen Ann Walters |
| Practice Office Address | 461 WESTERN BLVD STE 122 JACKSONVILLE, NC US |
| Practice Office Telephone | 9103330283 |
| Practice Office Fax | 9103330513 |
| Mailing Address | PO BOX 986513 DEPARTMENT 100 BOSTON, MA 022986513 US |
| Business Telephone | 9102198326 |
| Business Fax | 9109394269 |
| . [.] | . | Other . |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 5012070
NC |