Provider Demographics
NPI:1952877599
Name:TURNER, CHELSEA DIANE (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:DIANE
Last Name:TURNER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:DIANE
Other - Last Name:KRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4711 FOREST DR STE 9
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-3125
Mailing Address - Country:US
Mailing Address - Phone:803-354-2635
Mailing Address - Fax:803-403-0363
Practice Address - Street 1:4711 FOREST DR STE 9
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-3125
Practice Address - Country:US
Practice Address - Phone:803-354-2635
Practice Address - Fax:803-403-0363
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-22
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22341363LF0000X
SC222341363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP5601Medicaid