Healthcare Provider Details

I. General information

NPI: 1043292055
Provider Name (Legal Business Name): SHARON W TURNER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 12/22/2020
Certification Date: 12/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 CLARK ST NE
CULLMAN AL
35055-1953
US

IV. Provider business mailing address

503 CLARK ST NE
CULLMAN AL
35055-1921
US

V. Phone/Fax

Practice location:
  • Phone: 256-734-3202
  • Fax: 256-734-4668
Mailing address:
  • Phone: 256-739-1759
  • Fax: 256-739-0027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number1032722
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: