Provider Demographics
NPI:1417044371
Name:TURNER, NANCY CAROL (MS)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:CAROL
Last Name:TURNER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:TURNER
Other - Last Name:LOTOWYCZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:2730 ISABELLA BOULEVARD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250
Mailing Address - Country:US
Mailing Address - Phone:904-372-4070
Mailing Address - Fax:904-372-4075
Practice Address - Street 1:2730 ISABELLA BOULEVARD
Practice Address - Street 2:SUITE 10
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250
Practice Address - Country:US
Practice Address - Phone:904-372-4070
Practice Address - Fax:904-372-4075
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA2176235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL884500000Medicaid