Provider Demographics
NPI:1063173391
Name:TURNER, ALORA DIANN (PA-C)
Entity type:Individual
Prefix:
First Name:ALORA
Middle Name:DIANN
Last Name:TURNER
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:ALORA
Other - Middle Name:D
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 N COUNTY ROAD 1050 E
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46117-9702
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2401 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-3428
Practice Address - Country:US
Practice Address - Phone:765-281-2030
Practice Address - Fax:765-751-5286
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-08
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10003635A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300062856Medicaid
IN1102536086OtherANTHEM PTAN