Provider Demographics
NPI:1528683422
Name:TURNER, NICHOLAS DEVON
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:DEVON
Last Name:TURNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3624 CURRY ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-5618
Mailing Address - Country:US
Mailing Address - Phone:318-503-1650
Mailing Address - Fax:
Practice Address - Street 1:3624 CURRY ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-5618
Practice Address - Country:US
Practice Address - Phone:318-503-1650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker