Provider Demographics
NPI:1164647913
Name:TURNER, TAMMY LYNNE (LPN)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:LYNNE
Last Name:TURNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:652 ALPS PL
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-2903
Mailing Address - Country:US
Mailing Address - Phone:856-498-4773
Mailing Address - Fax:856-692-0623
Practice Address - Street 1:652 ALPS PL
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-2903
Practice Address - Country:US
Practice Address - Phone:856-498-4773
Practice Address - Fax:856-692-0623
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP05825300164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse