Provider Demographics
NPI:1992936389
Name:GINN, BEATRICE TURNER (CRNP)
Entity type:Individual
Prefix:MS
First Name:BEATRICE
Middle Name:TURNER
Last Name:GINN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MISS
Other - First Name:BEATRICE
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:217 W CEDAR LN
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21826-1735
Mailing Address - Country:US
Mailing Address - Phone:443-880-2780
Mailing Address - Fax:
Practice Address - Street 1:1665 WOODBROOKE DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-8502
Practice Address - Country:US
Practice Address - Phone:410-546-6650
Practice Address - Fax:410-546-2656
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000508363L00000X
MDR153634363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD119591300Medicaid
211878Medicare Oscar/Certification
S118Medicare PIN