Provider Demographics
NPI:1992818843
Name:DURANT, KAREN JO (NP-C)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JO
Last Name:DURANT
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6717 ELDORADO PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5734
Mailing Address - Country:US
Mailing Address - Phone:972-369-0744
Mailing Address - Fax:972-369-0644
Practice Address - Street 1:6717 ELDORADO PKWY STE 120
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5734
Practice Address - Country:US
Practice Address - Phone:972-369-0744
Practice Address - Fax:972-369-0644
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP114595363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX210282401Medicaid
TX210282404Medicaid
TX210282402Medicaid
TX210282403Medicaid
TX210282401Medicaid
TX210282404Medicaid
TX8K7578Medicare UPIN