Provider Demographics
NPI:1285410878
Name:HANCOCK, KAREN (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4656 LONGLEAF PL
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-2069
Mailing Address - Country:US
Mailing Address - Phone:757-450-4367
Mailing Address - Fax:
Practice Address - Street 1:4656 LONGLEAF PL
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-2069
Practice Address - Country:US
Practice Address - Phone:757-450-4367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2023063463363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health