Provider Demographics
NPI:1982904090
Name:TURNER, YOLANDA YVETTE
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:YVETTE
Last Name:TURNER
Suffix:
Gender:F
Credentials:
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 650075
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32965-0075
Mailing Address - Country:US
Mailing Address - Phone:772-501-3033
Mailing Address - Fax:772-448-4151
Practice Address - Street 1:101 N US HIGHWAY 1 STE 210
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4262
Practice Address - Country:US
Practice Address - Phone:772-501-3033
Practice Address - Fax:772-448-4151
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL000449300372500000X, 372600000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000449300Medicaid
FL000449301Medicaid