Provider Demographics
NPI:1417504325
Name:TURNER, JAMIE KATHRYN (CRNP)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:KATHRYN
Last Name:TURNER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:JAMIE
Other - Middle Name:KATHRYN
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JAMIE TURNER, CRNP
Mailing Address - Street 1:13080 OAK FORGE DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-8782
Mailing Address - Country:US
Mailing Address - Phone:601-549-5500
Mailing Address - Fax:
Practice Address - Street 1:13080 OAK FORGE DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-8782
Practice Address - Country:US
Practice Address - Phone:601-549-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-25
Last Update Date:2019-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-125976363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL8468673Medicaid