Basic Information
| Provider Information | |||||||||
| NPI: | 1568021483 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BRAZIER | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | GAYLE | ||||||||
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| Credential: | FNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 732 PENILE HILL RD. | ||||||||
| Address2: | |||||||||
| City: | DECHERD | ||||||||
| State: | TN | ||||||||
| PostalCode: | 373244141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9313088984 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1211 DINAH SHORE BLVD | ||||||||
| Address2: | |||||||||
| City: | WINCHESTER | ||||||||
| State: | TN | ||||||||
| PostalCode: | 373981107 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9319676669 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2019 | ||||||||
| LastUpdateDate: | 01/09/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/09/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0000X | 109547 | TN | N | Nursing Service Providers | Registered Nurse | Pain Management | 363LF0000X | 26068 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.