Provider Demographics
NPI:1073578340
Name:TURNER, KARA BOUDREAUX (MSN,CPNP)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:BOUDREAUX
Last Name:TURNER
Suffix:
Gender:F
Credentials:MSN,CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 W BALDWIN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-3364
Mailing Address - Country:US
Mailing Address - Phone:850-747-3661
Mailing Address - Fax:850-747-0194
Practice Address - Street 1:621 W BALDWIN RD
Practice Address - Street 2:SUITE A
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-3364
Practice Address - Country:US
Practice Address - Phone:850-747-3661
Practice Address - Fax:850-747-0194
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9325399363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL891010380Medicaid
AL51530827OtherBLUE CROSS/BLUE SHIELD