Provider Demographics
NPI:1225423783
Name:TURNER, MARISSA NEEL (PA-C)
Entity Type:Individual
Prefix:
First Name:MARISSA
Middle Name:NEEL
Last Name:TURNER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10031 SHERRILL BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-3336
Mailing Address - Country:US
Mailing Address - Phone:865-540-1650
Mailing Address - Fax:865-246-4753
Practice Address - Street 1:10031 SHERRILL BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-3336
Practice Address - Country:US
Practice Address - Phone:865-540-1650
Practice Address - Fax:865-246-4753
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPA2735363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical