=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427390079
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LYNETTE NENA TURNER-FLEMING MSN, NP-C, WHNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/21/2013
-----------------------------------------------------
Last Update Date | 03/21/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 173 B0ULAVARD NE
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30312-1468
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-658-1500
-----------------------------------------------------
Fax | 404-658-1535
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 173 BOULEVARD NE
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30312-1468
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-658-1500
-----------------------------------------------------
Fax | 404-658-1535
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 364SW0102X
-----------------------------------------------------
Taxonomy Name | Women's Health Clinical Nurse Specialist
-----------------------------------------------------
License Number | RN080384
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------