Provider Demographics
NPI:1740457688
Name:TURNAGE, STEPHANIE M (RN)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:M
Last Name:TURNAGE
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:PO BOX 133
Mailing Address - Street 2:
Mailing Address - City:CENTER POINT
Mailing Address - State:LA
Mailing Address - Zip Code:71323-0133
Mailing Address - Country:US
Mailing Address - Phone:318-561-6481
Mailing Address - Fax:
Practice Address - Street 1:242 WEST SHAMROCK
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360
Practice Address - Country:US
Practice Address - Phone:318-484-6850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA 73107163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse