Healthcare Provider Details

I. General information

NPI: 1871630012
Provider Name (Legal Business Name): CHERYL LOUISE TURNER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W WILLOW ST BLDG A
LAFAYETTE LA
70501-2837
US

IV. Provider business mailing address

220 W WILLOW ST BLDG A
LAFAYETTE LA
70501-2837
US

V. Phone/Fax

Practice location:
  • Phone: 337-262-5616
  • Fax:
Mailing address:
  • Phone: 337-262-5616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN079644
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN079644
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: