Provider Demographics
NPI:1487874301
Name:TURLEY, TINA (RN, BSN)
Entity type:Individual
Prefix:
First Name:TINA
Middle Name:
Last Name:TURLEY
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 KOON RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72206-6821
Mailing Address - Country:US
Mailing Address - Phone:501-372-2970
Mailing Address - Fax:888-468-9318
Practice Address - Street 1:225 S PULASKI ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-1925
Practice Address - Country:US
Practice Address - Phone:501-372-2970
Practice Address - Fax:888-468-9318
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR34647163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent