Provider Demographics
NPI:1871808725
Name:TURNER, PAMELA (RN, RRT)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:RN, RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 FAWNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39042-4001
Mailing Address - Country:US
Mailing Address - Phone:601-824-7706
Mailing Address - Fax:601-824-7706
Practice Address - Street 1:109 FAWNWOOD DR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39042-4001
Practice Address - Country:US
Practice Address - Phone:601-824-7706
Practice Address - Fax:601-824-7706
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR873929163W00000X
MSRCP1296227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered