Provider Demographics
NPI:1891095840
Name:DASHER, KAREN ALENE (MSN, PMHNPBC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ALENE
Last Name:DASHER
Suffix:
Gender:F
Credentials:MSN, PMHNPBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 LENORA DR
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31606-2212
Mailing Address - Country:US
Mailing Address - Phone:229-560-9266
Mailing Address - Fax:
Practice Address - Street 1:855 PEACHTREE ST NE UNIT 3401
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-7440
Practice Address - Country:US
Practice Address - Phone:470-826-2233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2025-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN101527363LP0808X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health