Healthcare Provider Details

I. General information

NPI: 1083539076
Provider Name (Legal Business Name): MICHELLE DENISE TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5160 SIERRA CREEK DR
HOSCHTON GA
30548-6393
US

IV. Provider business mailing address

5160 SIERRA CREEK DR
HOSCHTON GA
30548-6393
US

V. Phone/Fax

Practice location:
  • Phone: 630-244-9637
  • Fax:
Mailing address:
  • Phone: 630-244-9637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP305593
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: