Provider Demographics
NPI:1609222751
Name:TURNER, NANCY (ARNP)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:TURNER
Suffix:
Gender:
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1458 WATERMILL CIR
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-7030
Mailing Address - Country:US
Mailing Address - Phone:201-400-7100
Mailing Address - Fax:
Practice Address - Street 1:501 S LINCOLN AVE STE 22
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-5964
Practice Address - Country:US
Practice Address - Phone:727-357-7828
Practice Address - Fax:727-337-7646
Is Sole Proprietor?:No
Enumeration Date:2016-05-08
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9241841363LP2300X
FL9241841363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL018363900Medicaid
FL018363900Medicaid