Provider Demographics
NPI:1184677221
Name:TURNER, TONYA (NP)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2617 PLAZA PKWY
Mailing Address - Street 2:SUITE 714
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-3887
Mailing Address - Country:US
Mailing Address - Phone:940-692-0004
Mailing Address - Fax:940-692-0021
Practice Address - Street 1:2617 PLAZA PKWY
Practice Address - Street 2:SUITE 714
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-3887
Practice Address - Country:US
Practice Address - Phone:940-692-0004
Practice Address - Fax:940-692-0021
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN149434163W00000X
TX705092363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA296068480CMedicaid
GA296068480AMedicaid
GA296068480BMedicaid
GA296068480CMedicaid
GA296068480BMedicaid
GA296068480AMedicaid