Provider Demographics
NPI:1689035032
Name:BRAZELL, KAREN E (APRN)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:E
Last Name:BRAZELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BRAMPTON AVE STE 2D
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-0826
Mailing Address - Country:US
Mailing Address - Phone:912-259-9559
Mailing Address - Fax:
Practice Address - Street 1:100 BRAMPTON AVE STE 2D
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-0826
Practice Address - Country:US
Practice Address - Phone:912-250-6745
Practice Address - Fax:800-466-0194
Is Sole Proprietor?:No
Enumeration Date:2016-03-14
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN216047363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily