Provider Demographics
NPI:1194391920
Name:TURNER, ERA JOE
Entity Type:Individual
Prefix:
First Name:ERA
Middle Name:JOE
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9283 W US 84
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:AL
Mailing Address - Zip Code:36352-8207
Mailing Address - Country:US
Mailing Address - Phone:334-692-4455
Mailing Address - Fax:334-692-4457
Practice Address - Street 1:9283 W US 84
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:AL
Practice Address - Zip Code:36352-8207
Practice Address - Country:US
Practice Address - Phone:334-692-4455
Practice Address - Fax:334-692-4457
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2-035724164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse