Healthcare Provider Details

I. General information

NPI: 1508704370
Provider Name (Legal Business Name): ALICIA LASHUNDA TURNER DNP, PMHNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 MCCARTY RD
BYRAM MS
39212-9635
US

IV. Provider business mailing address

106 MCCARTY RD
BYRAM MS
39212-9635
US

V. Phone/Fax

Practice location:
  • Phone: 601-918-7478
  • Fax:
Mailing address:
  • Phone: 601-918-7478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number908296
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: