Provider Demographics
NPI:1588138739
Name:TURNIPSEED, NATACHA DESHAWN (FNP)
Entity type:Individual
Prefix:
First Name:NATACHA
Middle Name:DESHAWN
Last Name:TURNIPSEED
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 PENSHURST DRIVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29506-4162
Mailing Address - Country:US
Mailing Address - Phone:803-834-0512
Mailing Address - Fax:
Practice Address - Street 1:781 CHESTERFIELD HWY
Practice Address - Street 2:
Practice Address - City:CHERAW
Practice Address - State:SC
Practice Address - Zip Code:29520-7002
Practice Address - Country:US
Practice Address - Phone:843-690-2600
Practice Address - Fax:843-690-2602
Is Sole Proprietor?:No
Enumeration Date:2019-01-21
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22262363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1588138739Medicaid