MEDICARE: ASHLEY NICOLE TURNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	R0117572	OK
2	363LF0000X	Family Nurse Practitioner	204620	OK

General Provider Information

NPI Number	:	1265003123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY NICOLE TURNER

Provider Business Mailing Address
First Line	:	5050 E KENOSHA ST
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74014-6711
Country	:	US
Telephone Number	:	918-994-5140
Fax Number	:	918-994-5150

Provider Business Practice Location Address
First Line	:	5050 E KENOSHA ST
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74014-6711
Country	:	US
Telephone Number	:	918-994-5140
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2021
Last Update Date	:	12/03/2024

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Directions to “ ASHLEY NICOLE TURNER ” Practice Location

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