Provider Demographics
NPI:1588368807
Name:RIPLEY, KAREN JO (NP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:JO
Last Name:RIPLEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:815 CHUCKWAGON TRL
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401-2288
Mailing Address - Country:US
Mailing Address - Phone:512-484-3064
Mailing Address - Fax:
Practice Address - Street 1:1220 PALUXY MEDICAL CIR
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048-7901
Practice Address - Country:US
Practice Address - Phone:817-408-3320
Practice Address - Fax:817-408-3328
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-29
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1113536363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner