Healthcare Provider Details

I. General information

NPI: 1205205788
Provider Name (Legal Business Name): SHANNON PATRICE TURNER RN MSN PHN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2015
Last Update Date: 04/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 DEL PASO BLVD
SACRAMENTO CA
95815-3102
US

IV. Provider business mailing address

229 7TH ST
SAN FRANCISCO CA
94103-4003
US

V. Phone/Fax

Practice location:
  • Phone: 916-924-9798
  • Fax: 916-924-7989
Mailing address:
  • Phone: 415-503-6000
  • Fax: 415-503-6099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95003166
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: