Provider Demographics
NPI:1013494814
Name:TURNER, KESHAWN (RN)
Entity Type:Individual
Prefix:
First Name:KESHAWN
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4209 SPRING STUEBNER RD APT 29103
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-5388
Mailing Address - Country:US
Mailing Address - Phone:281-508-7572
Mailing Address - Fax:
Practice Address - Street 1:4209 SPRING STUEBNER RD APT 29103
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-5388
Practice Address - Country:US
Practice Address - Phone:281-508-7572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX210990164X00000X
TX1011805163W00000X
372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No164X00000XNursing Service ProvidersLicensed Vocational Nurse
Yes163W00000XNursing Service ProvidersRegistered Nurse