Healthcare Provider Details

I. General information

NPI: 1982597621
Provider Name (Legal Business Name): GWENDOLYN TURNER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4807 US HIGHWAY 19 STE 102
NEW PORT RICHEY FL
34652-4260
US

IV. Provider business mailing address

4807 US HIGHWAY 19 STE 102
NEW PORT RICHEY FL
34652-4260
US

V. Phone/Fax

Practice location:
  • Phone: 727-846-7618
  • Fax: 727-849-7090
Mailing address:
  • Phone: 727-846-7618
  • Fax: 727-849-7090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11040751
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: