Provider Demographics
NPI:1831495134
Name:TURPEN, JUDITH L (NP)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:L
Last Name:TURPEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:L
Other - Last Name:FOLKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:820 JORDAN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4518
Mailing Address - Country:US
Mailing Address - Phone:318-221-0399
Mailing Address - Fax:318-221-1940
Practice Address - Street 1:820 JORDAN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-4518
Practice Address - Country:US
Practice Address - Phone:318-221-0399
Practice Address - Fax:318-221-1940
Is Sole Proprietor?:No
Enumeration Date:2011-02-03
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06317363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily