Provider Demographics
NPI:1619747052
Name:TURNER, ALICIA BERNICE (HHA)
Entity type:Individual
Prefix:MISS
First Name:ALICIA
Middle Name:BERNICE
Last Name:TURNER
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 WARM SPRINGS RD APT 51
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-5966
Mailing Address - Country:US
Mailing Address - Phone:762-340-3843
Mailing Address - Fax:
Practice Address - Street 1:4400 WARM SPRINGS RD APT 51
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-5966
Practice Address - Country:US
Practice Address - Phone:762-340-3843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA932322836374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide