Provider Demographics
NPI:1174157705
Name:TURNER, KRISTINE J
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:J
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 JOHN R JUNKIN DR STE A
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-3822
Mailing Address - Country:US
Mailing Address - Phone:601-431-3160
Mailing Address - Fax:601-439-2324
Practice Address - Street 1:240 JOHN R JUNKIN DR STE A
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-3822
Practice Address - Country:US
Practice Address - Phone:601-431-3160
Practice Address - Fax:601-439-2324
Is Sole Proprietor?:No
Enumeration Date:2020-02-22
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker