Healthcare Provider Details

I. General information

NPI: 1114993052
Provider Name (Legal Business Name): LOUISE D. TURNER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 02/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 UNIVERSITY BLVD HSB STE 1200
MOBILE AL
36688-3053
US

IV. Provider business mailing address

307 UNIVERSITY BLVD HSB STE 1200
MOBILE AL
36688-3053
US

V. Phone/Fax

Practice location:
  • Phone: 251-460-7681
  • Fax: 251-414-8227
Mailing address:
  • Phone: 251-460-7681
  • Fax: 251-414-8227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-090622
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: