Provider Demographics
NPI:1659839595
Name:TURNER, TIKINYA DONAE (RN)
Entity Type:Individual
Prefix:
First Name:TIKINYA
Middle Name:DONAE
Last Name:TURNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12321 KENTMORE LN APT 416
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-4170
Mailing Address - Country:US
Mailing Address - Phone:817-615-1726
Mailing Address - Fax:
Practice Address - Street 1:12321 KENTMORE LN APT 416
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-4170
Practice Address - Country:US
Practice Address - Phone:817-615-1726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX961872163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse