MEDICARE: KATRINA ROSE TURNER APRN

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	363LF0000X	Family Nurse Practitioner	3016430	KY

General Provider Information

NPI Number	:	1649948480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA ROSE TURNER APRN

Provider Business Mailing Address
First Line	:	12 JACKSON HTS
Second Line	:
City	:	JACKSON
State	:	KY
Zip	:	41339-6500
Country	:	US
Telephone Number	:	606-693-0199
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 JACKSON HTS
Second Line	:
City	:	JACKSON
State	:	KY
Zip	:	41339-6500
Country	:	US
Telephone Number	:	606-693-0199
Fax Number	:

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

Provider Enumeration Date	:	09/04/2021
Last Update Date	:	12/23/2021

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