Healthcare Provider Details

I. General information

NPI: 1821974528
Provider Name (Legal Business Name): SHANA MICHELL TURNAGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54002 HIGHWAY 1062
LORANGER LA
70446-3538
US

IV. Provider business mailing address

25530 E KNIGHT RD
ANGIE LA
70426-2946
US

V. Phone/Fax

Practice location:
  • Phone: 985-606-2273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number245409
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: