Provider Demographics
NPI:1316500705
Name:TURNER, SONVERIA NICOLE
Entity type:Individual
Prefix:
First Name:SONVERIA
Middle Name:NICOLE
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 1:214 COLUMBIA DR APT C19
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32304-3124
Mailing Address - Country:US
Mailing Address - Phone:850-322-3831
Mailing Address - Fax:
Practice Address - Street 1:214 COLUMBIA DR APT C19
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304-3124
Practice Address - Country:US
Practice Address - Phone:850-322-3831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-21
Last Update Date:2019-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL95363251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care