Provider Demographics
NPI:1144361858
Name:MACPHERSON, KAREN M (CNP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:MACPHERSON
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
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Mailing Address - Street 1:PO BOX 67000
Mailing Address - Street 2:DEPARTMENT 272801
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48267-0002
Mailing Address - Country:US
Mailing Address - Phone:517-841-6913
Mailing Address - Fax:517-841-6917
Practice Address - Street 1:300 W WASHINGTON AVE
Practice Address - Street 2:STE 300
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-2180
Practice Address - Country:US
Practice Address - Phone:517-841-1305
Practice Address - Fax:517-841-1306
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2008-07-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHNP02926363L00000X
MI4704263745363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health