Healthcare Provider Details
I. General information
NPI: 1598979262
Provider Name (Legal Business Name): ADRIENNE E TURNER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/10/2007
Last Update Date: 07/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
245 HAIRSTON ST
DANVILLE VA
24540-4137
US
IV. Provider business mailing address
245 HAIRSTON ST
DANVILLE VA
24540-4137
US
V. Phone/Fax
- Phone: 434-205-8958
- Fax: 434-202-3021
- Phone: 434-205-8958
- Fax: 434-202-3021
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | 0116017597 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | 0101243444 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: