Provider Demographics
NPI:1922522119
Name:TURRUBIARTE, KAILEY MCCORD (FNP-C)
Entity Type:Individual
Prefix:
First Name:KAILEY
Middle Name:MCCORD
Last Name:TURRUBIARTE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KAILEY
Other - Middle Name:BRYNN
Other - Last Name:MCCORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:571 W MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-3667
Mailing Address - Country:US
Mailing Address - Phone:972-436-9785
Mailing Address - Fax:
Practice Address - Street 1:571 W MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-3667
Practice Address - Country:US
Practice Address - Phone:972-436-9785
Practice Address - Fax:972-436-6068
Is Sole Proprietor?:No
Enumeration Date:2017-07-28
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP134408363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP134408OtherAPRN LICENSE #