Provider Demographics
NPI:1952012478
Name:TURNEY, MOLLIEKATE (APRN)
Entity type:Individual
Prefix:
First Name:MOLLIEKATE
Middle Name:
Last Name:TURNEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MOLLIEKATE
Other - Middle Name:
Other - Last Name:TURNEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, AGACNP-BC
Mailing Address - Street 1:2822 54TH AVE S # 131
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-4610
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:635 4TH ST N STE 200
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-2319
Practice Address - Country:US
Practice Address - Phone:727-201-4968
Practice Address - Fax:727-201-4971
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-06
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024673363LA2100X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care