Sjturner Pllc | |
8845 Lorraine Rd Gulfport MS 39503-5042 | |
(228) 277-1771 | |
Not Available |
Full Name | Sjturner Pllc |
---|---|
Speciality | Clinic/Center |
Location | 8845 Lorraine Rd, Gulfport, Mississippi |
Authorized Official Name and Position | Scott Turner (PSYCHIATRIC NURSE PRACTITIONER) |
Authorized Official Contact | 2282771771 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sjturner Pllc 8990 Lorraine Rd Gulfport MS 39503-4176 Ph: () - | Sjturner Pllc 8845 Lorraine Rd Gulfport MS 39503-5042 Ph: (228) 277-1771 |
NPI Number | 1629582671 |
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Provider Enumeration Date | 11/29/2017 |
Last Update Date | 06/29/2021 |
Certification Date | 06/29/2021 |
Medicare PECOS PAC ID | 5496009573 |
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Medicare Enrollment ID | O20181107002880 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629582671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Scott Joseph Turner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548514151 PECOS PAC ID: 6204188436 Enrollment ID: I20181016002358 |
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