Provider Demographics
NPI:1295141471
Name:MARINO, KARA LYNN (NP)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:LYNN
Last Name:MARINO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2717 E OAKLAND AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-1843
Mailing Address - Country:US
Mailing Address - Phone:423-926-2358
Mailing Address - Fax:423-926-2680
Practice Address - Street 1:2700 PARKWOOD AVE
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1730
Practice Address - Country:US
Practice Address - Phone:423-926-2358
Practice Address - Fax:423-926-2680
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2025-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN33957364S00000X
IL209-010172364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist