Provider Demographics
NPI:1629251327
Name:TURNER, NANCY C (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:C
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1446 BRYSON RD
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:TN
Mailing Address - Zip Code:38449-5228
Mailing Address - Country:US
Mailing Address - Phone:931-468-2102
Mailing Address - Fax:931-468-2103
Practice Address - Street 1:1446 BRYSON RD
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:TN
Practice Address - Zip Code:38449
Practice Address - Country:US
Practice Address - Phone:931-468-2102
Practice Address - Fax:931-468-2103
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000043038207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AC8365199OtherDEA
TN3720044OtherMEDICARE GROUP
AC8365199OtherDEA