Provider Demographics
NPI:1154125177
Name:NELSON, KARENA KING
Entity type:Individual
Prefix:MRS
First Name:KARENA
Middle Name:KING
Last Name:NELSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3388A DUNN RD
Mailing Address - Street 2:
Mailing Address - City:EASTOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28312-8798
Mailing Address - Country:US
Mailing Address - Phone:910-229-3695
Mailing Address - Fax:910-229-3615
Practice Address - Street 1:3388A DUNN RD
Practice Address - Street 2:
Practice Address - City:EASTOVER
Practice Address - State:NC
Practice Address - Zip Code:28312-8798
Practice Address - Country:US
Practice Address - Phone:910-229-3695
Practice Address - Fax:910-229-3615
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC7872374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide