Provider Demographics
NPI:1316365414
Name:TURNER, MELINDA M (FNP; PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:M
Last Name:TURNER
Suffix:
Gender:F
Credentials:FNP; PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7133 BLUE SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-2702
Mailing Address - Country:US
Mailing Address - Phone:314-385-8202
Mailing Address - Fax:314-385-0030
Practice Address - Street 1:7133 BLUE SPRUCE DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-2702
Practice Address - Country:US
Practice Address - Phone:314-385-8202
Practice Address - Fax:314-385-0030
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-04
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOXXXXXXXXXX363LF0000X
MOXXXXXXXXXXX363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health