Healthcare Provider Details

I. General information

NPI: 1932775632
Provider Name (Legal Business Name): GENA BYRD-TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 BLACKWELL RD # 350
ROCKVILLE MD
20850-3472
US

IV. Provider business mailing address

9601 BLACKWELL RD # 350
ROCKVILLE MD
20850-3472
US

V. Phone/Fax

Practice location:
  • Phone: 301-545-5512
  • Fax:
Mailing address:
  • Phone: 301-545-5512
  • Fax: 301-979-9090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC0007931
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: