MEDICARE: KARENNA TURLEY MSN, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	39399	TN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	10052526	OR

General Provider Information

NPI Number	:	1295613768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARENNA TURLEY MSN, PMHNP-BC

Provider Business Mailing Address
First Line	:	718 W LAMAR ALEXANDER PKWY
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37801-3943
Country	:	US
Telephone Number	:	865-233-6188
Fax Number	:	865-233-6224

Provider Business Practice Location Address
First Line	:	718 W LAMAR ALEXANDER PKWY
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37801-3943
Country	:	US
Telephone Number	:	865-233-6188
Fax Number	:	865-233-6224

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2025
Last Update Date	:	05/18/2026

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