Provider Demographics
NPI:1366838096
Name:TURNER, LISA ANN (CRNP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:TURNER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2055 E SOUTH BLVD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-2001
Mailing Address - Country:US
Mailing Address - Phone:334-613-0807
Mailing Address - Fax:334-386-4175
Practice Address - Street 1:2055 E SOUTH BLVD
Practice Address - Street 2:SUITE 403
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-2001
Practice Address - Country:US
Practice Address - Phone:334-613-0807
Practice Address - Fax:334-386-4175
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF0115706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALF0115706OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
AL1-080177OtherALABAMA BOARD OF NURSING RN LICENSE