Provider Demographics
NPI:1215760079
Name:TURNER, RAMONA BROOKE (FNP-BC)
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:BROOKE
Last Name:TURNER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3222 COUNTY ROAD 55
Mailing Address - Street 2:
Mailing Address - City:TILLATOBA
Mailing Address - State:MS
Mailing Address - Zip Code:38961-2901
Mailing Address - Country:US
Mailing Address - Phone:662-647-1698
Mailing Address - Fax:
Practice Address - Street 1:3222 COUNTY ROAD 55
Practice Address - Street 2:
Practice Address - City:TILLATOBA
Practice Address - State:MS
Practice Address - Zip Code:38961-2901
Practice Address - Country:US
Practice Address - Phone:662-647-1698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS906903363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily