Provider Demographics
NPI:1114785375
Name:TURNER, CASSANDRA ELIZABETH (MSN APRN)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:ELIZABETH
Last Name:TURNER
Suffix:
Gender:F
Credentials:MSN APRN
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:ELIZABETH
Other - Last Name:CHAMBLESS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN APRN
Mailing Address - Street 1:424 BEREAN LN
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-2584
Mailing Address - Country:US
Mailing Address - Phone:915-342-4272
Mailing Address - Fax:
Practice Address - Street 1:12221 N MOPAC EXPY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2401
Practice Address - Country:US
Practice Address - Phone:512-901-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX880204163WN0002X
TX1156793363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care