Healthcare Provider Details

I. General information

NPI: 1407130339
Provider Name (Legal Business Name): LAURA B TURNER CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2011
Last Update Date: 10/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PARK CREEK DR
COLUMBUS MS
39705-1309
US

IV. Provider business mailing address

200 PARK CREEK DR
COLUMBUS MS
39705-1309
US

V. Phone/Fax

Practice location:
  • Phone: 662-327-8410
  • Fax: 662-327-9749
Mailing address:
  • Phone: 662-327-8410
  • Fax: 662-327-9749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR874975
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: