Provider Demographics
NPI:1437509247
Name:TURNER, CASSIDY ROLAND (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:CASSIDY
Middle Name:ROLAND
Last Name:TURNER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:CASSIDY
Other - Middle Name:BLAIR
Other - Last Name:ROLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:533 ARDMORE PL
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-8648
Mailing Address - Country:US
Mailing Address - Phone:470-217-0984
Mailing Address - Fax:
Practice Address - Street 1:317 SEVEN SPRINGS WAY STE 101
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4576
Practice Address - Country:US
Practice Address - Phone:615-370-9992
Practice Address - Fax:615-370-9665
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4124363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical