Provider Demographics
NPI:1770292666
Name:TURNER, MICHAEL K (PHD, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:K
Last Name:TURNER
Suffix:
Gender:M
Credentials:PHD, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:668 KARCH DR
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37803-6258
Mailing Address - Country:US
Mailing Address - Phone:615-218-9613
Mailing Address - Fax:
Practice Address - Street 1:668 KARCH DR
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37803-6258
Practice Address - Country:US
Practice Address - Phone:615-218-9613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-18
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34761363LP0808X
TN266152163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse