Provider Demographics
NPI:1013332329
Name:TURNER, NIKKI MICHELLE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:NIKKI
Middle Name:MICHELLE
Last Name:TURNER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 LANE PKWY
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160-3109
Mailing Address - Country:US
Mailing Address - Phone:931-685-9277
Mailing Address - Fax:931-685-9244
Practice Address - Street 1:208 LANE PKWY
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37160-3109
Practice Address - Country:US
Practice Address - Phone:931-685-9277
Practice Address - Fax:931-685-9244
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-24
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18403363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily