Individual
KELLY MARIE TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-3807
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
25470
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
257422
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
08/23/2021
Last updated
12/22/2021
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