MEDICARE: DEBRA LYNN 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	363LF0000X	Family Nurse Practitioner	350486	NY

General Provider Information

NPI Number	:	1417669896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA LYNN TURNER

Provider Business Mailing Address
First Line	:	100 KINGS HWY S
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-5504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 COULTER RD STE 2750
Second Line	:
City	:	CLIFTON SPRINGS
State	:	NY
Zip	:	14432-1122
Country	:	US
Telephone Number	:	315-318-0276
Fax Number	:	315-462-0415

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

Provider Enumeration Date	:	12/19/2022
Last Update Date	:	12/15/2025

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