Individual provider Active NPI

Jessica Nichole Turner, FNP-C

  • Family Nurse Practitioner
  • Evarts, KY
National Provider Identifier
1639776990
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015269 Issued in KY
Practice address
101 Chad St
Evarts, KY 40828-8200
Phone
(606) 837-2108
Fax
(606) 837-2111
NPI assigned
Oct 8, 2020
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3015269 KY Primary

Addresses

Primary practice location

101 Chad St
Evarts, KY 40828-8200

Mailing address

PO Box 39
Evarts, KY 40828-0039
Phone (606) 837-2108

Other practice location 1

209 E Mound St
Harlan, KY 40831-2321
Phone (606) 573-1975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211013003529 KY Practitioner - Nurse Practitioner 2062810534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clover Fork Outpatient Medical Project IncGroup PAC ID 2062317027, shared by 2 NPIs, 5 clinicians

Practice addresses (Care Compare)

101 Chad St
Evarts, KY 40828-8200
Phone (606) 837-2108

209 E Mound St
Harlan, KY 40831-2321
Phone (606) 573-1975

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clover Fork Outpatient Medical Project Inc CurrentSince Jan 15, 2024 Accepting new patients
Clover Fork Outpatient Medical Project Inc CurrentSince Jan 15, 2024 Accepting new patients

Locations

101 Chad St
Evarts, KY 40828
Phone (606) 837-2108

209 E Mound St
Harlan, KY 40831
Phone (606) 573-1975

420 E Central St
Harlan, KY 40831
Phone (606) 573-8700

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1639776990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "EVARTS",
            "state": "KY",
            "postal_code": "408280039",
            "telephone_number": "606-837-2108",
            "fax_number": "606-837-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CHAD ST",
            "city": "EVARTS",
            "state": "KY",
            "postal_code": "408288200",
            "telephone_number": "606-837-2108",
            "fax_number": "606-837-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 E Mound St",
            "address_purpose": "LOCATION",
            "city": "Harlan",
            "state": "KY",
            "postal_code": "408312321",
            "country_code": "US",
            "telephone_number": "606-573-1975",
            "fax_number": "606-837-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER",
        "first_name": "JESSICA",
        "middle_name": "NICHOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evarts, KY

Sources for this page

Verify at the official NPI Registry.