Basic Information
Provider Information
NPI: 1629529474
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAROL
FirstName: JOLENE
MiddleName: D
NamePrefix: MS.
NameSuffix:  
Credential: BSN, RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 710 HART LN
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372431405
CountryCode: US
TelephoneNumber: 6156507073
FaxNumber: 6152626139
Practice Location
Address1: 710 HART LN
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372431405
CountryCode: US
TelephoneNumber: 6156507073
FaxNumber: 6152626139
Other Information
ProviderEnumerationDate: 10/17/2016
LastUpdateDate: 10/17/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X0000082498TNY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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