Provider Demographics
NPI:1699110908
Name:TURNER, DONNA GAIL (BS)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:GAIL
Last Name:TURNER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:GAIL
Other - Last Name:WYRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:1400 COOK ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT
Mailing Address - State:MO
Mailing Address - Zip Code:63857-3209
Mailing Address - Country:US
Mailing Address - Phone:573-344-8529
Mailing Address - Fax:
Practice Address - Street 1:935 HWY V V
Practice Address - Street 2:
Practice Address - City:KENNETT
Practice Address - State:MO
Practice Address - Zip Code:63857
Practice Address - Country:US
Practice Address - Phone:573-888-0624
Practice Address - Fax:573-888-8833
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator