Provider Demographics
NPI:1750429783
Name:TURNER, ALICE S (RNC, WHNP)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:S
Last Name:TURNER
Suffix:
Gender:F
Credentials:RNC, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 THOMASTON ST
Mailing Address - Street 2:
Mailing Address - City:BARNESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30204-1752
Mailing Address - Country:US
Mailing Address - Phone:770-358-2986
Mailing Address - Fax:770-358-2962
Practice Address - Street 1:133 FORSYTH ST
Practice Address - Street 2:
Practice Address - City:BARNESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30204-1470
Practice Address - Country:US
Practice Address - Phone:770-358-0674
Practice Address - Fax:770-358-2962
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN073683363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00791678AMedicaid
GA00791678AMedicaid
GA50BBCGRMedicare ID - Type Unspecified