Provider Demographics
NPI:1073143517
Name:TURNER, LAKEISHA KIERRA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:LAKEISHA
Middle Name:KIERRA
Last Name:TURNER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 S IVESTOR CT
Mailing Address - Street 2:
Mailing Address - City:INMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29349-7208
Mailing Address - Country:US
Mailing Address - Phone:803-673-2848
Mailing Address - Fax:
Practice Address - Street 1:304 S IVESTOR CT
Practice Address - Street 2:
Practice Address - City:INMAN
Practice Address - State:SC
Practice Address - Zip Code:29349-7208
Practice Address - Country:US
Practice Address - Phone:803-673-2848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23625363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily