Healthcare Provider Details

I. General information

NPI: 1285300947
Provider Name (Legal Business Name): LINDA A TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2021
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2580 JACKSON AVE W STE 44
OXFORD MS
38655-5497
US

IV. Provider business mailing address

461 ROBIN RD
GRENADA MS
38901-1731
US

V. Phone/Fax

Practice location:
  • Phone: 662-234-9112
  • Fax:
Mailing address:
  • Phone: 662-688-7689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number904830
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: