Provider Demographics
NPI:1740750355
Name:TURNER, ANDREA D (NP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:D
Last Name:TURNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:CALEB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1346 PAT HARALSON DR
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-8410
Mailing Address - Country:US
Mailing Address - Phone:706-781-0924
Mailing Address - Fax:706-781-3406
Practice Address - Street 1:1346 PAT HARALSON DR
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-8410
Practice Address - Country:US
Practice Address - Phone:706-781-0924
Practice Address - Fax:706-781-3406
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-27
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA182399363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health