Provider Demographics
NPI:1184817272
Name:TURNER, KATIE LOUISE (LPN)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:LOUISE
Last Name:TURNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1706 26TH AVE S
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3307
Mailing Address - Country:US
Mailing Address - Phone:615-298-8470
Mailing Address - Fax:615-298-8084
Practice Address - Street 1:1706 26TH AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3307
Practice Address - Country:US
Practice Address - Phone:615-298-8470
Practice Address - Fax:615-298-8084
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000024462164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse