Provider Demographics
NPI:1154612190
Name:WISDOM-CHAMBERS, KAREN (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:WISDOM-CHAMBERS
Suffix:
Gender:
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:WISDOM-CHAMBERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP, FNP, PMHNP
Mailing Address - Street 1:9123 N MILITARY TRL
Mailing Address - Street 2:#102
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-5990
Mailing Address - Country:US
Mailing Address - Phone:561-630-9339
Mailing Address - Fax:
Practice Address - Street 1:1650 OSCEOLA DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-5038
Practice Address - Country:US
Practice Address - Phone:561-803-8080
Practice Address - Fax:877-409-1795
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95871173000000X
FLARNP91979042084P0802X, 363LP2300X
FL9197904363L00000X
FLAPRN9197904363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No173000000XOther Service ProvidersLegal Medicine
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care