Healthcare Provider Details

I. General information

NPI: 1699526947
Provider Name (Legal Business Name): TURNAROUND CARE MEDICAL CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2024
Last Update Date: 02/22/2025
Certification Date: 02/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5357 CLIFF GOOKIN BLVD
TUPELO MS
38801-7085
US

IV. Provider business mailing address

5357 CLIFF GOOKIN BLVD
TUPELO MS
38801-7085
US

V. Phone/Fax

Practice location:
  • Phone: 662-523-7016
  • Fax:
Mailing address:
  • Phone: 662-523-7016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NICOLE SHERICE TAYLOR
Title or Position: DOCTOR OF NURSING PRACTICE
Credential: DNP
Phone: 662-523-7016