Kimber L Turner, FNP

Individual provider Active NPI Family Nurse Practitioner · Springfield, MO

NPI 1366486300 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1366486300
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN116670 (MO)
Practice address
2828 N National Ave
Suite K
Springfield, MO 65803-4306
Phone
(417) 875-4600
Fax
(417) 875-4700
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN116670MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Rotton Surgical, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN116670 MO Yes

Addresses

Primary practice location

2828 N National Ave
Suite K
Springfield, MO 65803-4306

Mailing address

2828 N National Ave
Suite K
Springfield, MO 65803-4306
Phone (417) 875-4600

Other identifiers

IdentifierTypeStateIssuer
427490206MedicaidMO

Other providers in Springfield, MO

All providers in Springfield, MO · Family Nurse Practitioner in Missouri

Sources for this page

Verify at the official NPI Registry.