MEDICARE: TOMEIKA TURNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SH0200X	Home Health Clinical Nurse Specialist	HCO-222753	VA

General Provider Information

NPI Number	:	1356099436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOMEIKA TURNER

Provider Business Mailing Address
First Line	:	2555 ROADSIDE LN
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23325-4653
Country	:	US
Telephone Number	:	757-334-5680
Fax Number	:	757-389-8674

Provider Business Practice Location Address
First Line	:	122 W 2ND AVE
Second Line	:
City	:	FRANKLIN
State	:	VA
Zip	:	23851-1712
Country	:	US
Telephone Number	:	757-277-0261
Fax Number	:	757-389-8674

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2022
Last Update Date	:	03/16/2022

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