Provider Demographics
NPI:1013496066
Name:TURNER, KAELYN HEBERT (NP)
Entity Type:Individual
Prefix:
First Name:KAELYN
Middle Name:HEBERT
Last Name:TURNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KAELYN
Other - Middle Name:MICHELLE
Other - Last Name:HEBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2390 W CONGRESS ST BLDG 10
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-4205
Mailing Address - Country:US
Mailing Address - Phone:337-261-6195
Mailing Address - Fax:
Practice Address - Street 1:732 YOUNG ST
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:LA
Practice Address - Zip Code:70592-5501
Practice Address - Country:US
Practice Address - Phone:337-205-7777
Practice Address - Fax:337-504-7873
Is Sole Proprietor?:No
Enumeration Date:2018-08-10
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP10098363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner