Provider Demographics
NPI:1639680846
Name:TURNER, AMY MARIE (APRN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:TURNER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 STATE ROUTE 1890
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42066-7110
Mailing Address - Country:US
Mailing Address - Phone:270-804-8127
Mailing Address - Fax:
Practice Address - Street 1:308 S WASHINGTON ST STE 200
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:KY
Practice Address - Zip Code:42031-1347
Practice Address - Country:US
Practice Address - Phone:270-653-0220
Practice Address - Fax:270-653-0220
Is Sole Proprietor?:No
Enumeration Date:2017-10-14
Last Update Date:2017-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011810363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily