MEDICARE: TIFFANY 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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1336081298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY TURNER

Provider Business Mailing Address
First Line	:	15510 95TH AVE
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63034-2157
Country	:	US
Telephone Number	:	314-798-4932
Fax Number	:

Provider Business Practice Location Address
First Line	:	15510 95TH AVE
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63034-2157
Country	:	US
Telephone Number	:	314-798-4932
Fax Number	:

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ TIFFANY TURNER ” Practice Location

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