Provider Demographics
NPI:1649517749
Name:TURNER-MATHIS, DEBBIE K (RN)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:K
Last Name:TURNER-MATHIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:K
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7687 PRAIRIEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-1161
Mailing Address - Country:US
Mailing Address - Phone:317-385-5389
Mailing Address - Fax:317-288-2297
Practice Address - Street 1:7687 PRAIRIEVIEW DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-1161
Practice Address - Country:US
Practice Address - Phone:317-385-5389
Practice Address - Fax:317-288-2297
Is Sole Proprietor?:No
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28098286A171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator