Provider Demographics
NPI:1033748058
Name:TURPIN, KESA (RN)
Entity Type:Individual
Prefix:
First Name:KESA
Middle Name:
Last Name:TURPIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:KRSA
Other - Middle Name:M
Other - Last Name:HALL-TURPIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:129 HOSTA DR
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-5326
Mailing Address - Country:US
Mailing Address - Phone:910-689-6537
Mailing Address - Fax:
Practice Address - Street 1:129 HOSTA DR
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-5326
Practice Address - Country:US
Practice Address - Phone:910-689-6537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC298585163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC298585OtherNURSE LICENSE