Provider Demographics
NPI:1972571388
Name:TURNER, PAMELA ANN (PA-C)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:ANN
Last Name:TURNER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 80TH ST N
Mailing Address - Street 2:UNIT #112
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-6808
Mailing Address - Country:US
Mailing Address - Phone:727-541-7173
Mailing Address - Fax:
Practice Address - Street 1:JAMES A. HALEY VETERANS HOSPITAL
Practice Address - Street 2:13,000 BRUCE B. DOWNS BLVD
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4799
Practice Address - Country:US
Practice Address - Phone:813-972-2000
Practice Address - Fax:813-978-5913
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA2420363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant