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KARENE GAILE BOONE NP-C
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1194051698
Individual Registrant: KARENE GAILE BOONE NP-C
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
5435 FIVE FORKS TRICKUM RD STONE MOUNTAIN, GA 30087-3045 US
Tel: 678-602-4098 Fax: --
Tel: 678-602-4098 Fax: --
Contact information for business:
6460 CASTLE COURT WAY LITHONIA, GA 30058-3192 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1194051698
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN153196 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
