Healthcare Provider Details

I. General information

NPI: 1801305677
Provider Name (Legal Business Name): COURTNEY E TURNBOUGH MSN, APRN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 S NEW BALLAS RD STE 2002B
SAINT LOUIS MO
63141-8265
US

IV. Provider business mailing address

621 S NEW BALLAS RD STE 2002B
SAINT LOUIS MO
63141-8265
US

V. Phone/Fax

Practice location:
  • Phone: 314-251-6753
  • Fax: 314-251-4492
Mailing address:
  • Phone: 314-251-6753
  • Fax: 314-251-4492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number2016039182
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: