Provider Demographics
NPI:1942061536
Name:REVELS-TURNER, COURTNEY
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:
Last Name:REVELS-TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 CENPAC AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-4442
Mailing Address - Country:US
Mailing Address - Phone:614-736-7493
Mailing Address - Fax:
Practice Address - Street 1:2218 SUMMIT ST REAR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-4287
Practice Address - Country:US
Practice Address - Phone:614-736-7493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist