Provider Demographics
NPI:1235531807
Name:TURNER, ALYSSA (DNP, FNP-C, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:DNP, FNP-C, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 W FARM RD
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74078-2000
Mailing Address - Country:US
Mailing Address - Phone:405-744-7665
Mailing Address - Fax:405-744-6556
Practice Address - Street 1:1202 W FARM RD
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74078-5529
Practice Address - Country:US
Practice Address - Phone:405-744-7665
Practice Address - Fax:405-744-6556
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF05170572363LF0000X
CO0200590390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily