Healthcare Provider Details

I. General information

NPI: 1528310471
Provider Name (Legal Business Name): ALEXIS TURNER APRN, NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2012
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N EAGLE CREEK DR
LEXINGTON KY
40509-1805
US

IV. Provider business mailing address

800 ROSE ST
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 859-967-5772
  • Fax:
Mailing address:
  • Phone: 859-323-5744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number3007722
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: