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General NPI Number Information
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NPI Number | 1588117774
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Entity Type | Individual
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Provider Name | CHARISSA TURNER NP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/25/2016
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 5422 W THUNDERBIRD RD STE 5
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City | GLENDALE
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State | AZ
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Zip | 85306-4717
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Country | US
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Telephone | 623-444-5508
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Fax |
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Provider Business Mailing Address
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Address Line | 404 EVERGREEN CIR
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City | PICKERINGTON
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State | OH
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Zip | 43147-8088
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9337270
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 021289
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 294435
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License Number State | AZ
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