Provider Demographics
NPI:1487717096
Name:THORNTON, KAREN (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:THORNTON
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6273 COUNTY ROAD 363
Mailing Address - Street 2:
Mailing Address - City:JEWETT
Mailing Address - State:TX
Mailing Address - Zip Code:75846-2982
Mailing Address - Country:US
Mailing Address - Phone:214-223-6817
Mailing Address - Fax:
Practice Address - Street 1:6273 COUNTY ROAD 363
Practice Address - Street 2:
Practice Address - City:JEWETT
Practice Address - State:TX
Practice Address - Zip Code:75846-2982
Practice Address - Country:US
Practice Address - Phone:214-223-6817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX710361364SM0705X
TX1148782363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical