MEDICARE: AMANDA LOUISE TURNER MD

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	207Q00000X	Family Medicine Physician	01097447A	IN
2	390200000X	Student in an Organized Health Care Education/Training Program

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01097447A	OTHER	IN	LICENSE

General Provider Information

NPI Number	:	1508560921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA LOUISE TURNER MD

Provider Business Mailing Address
First Line	:	30 W RAMPART ST STE 200
Second Line	:
City	:	SHELBYVILLE
State	:	IN
Zip	:	46176-8846
Country	:	US
Telephone Number	:	317-421-2012
Fax Number	:	317-398-1851

Provider Business Practice Location Address
First Line	:	2451 INTELLIPLEX DR
Second Line	:	STE 260
City	:	SHELBYVILLE
State	:	IN
Zip	:	46176-8580
Country	:	US
Telephone Number	:	317-398-0121
Fax Number	:	317-398-0538

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

Provider Enumeration Date	:	03/29/2023
Last Update Date	:	06/04/2026

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Directions to “ AMANDA LOUISE TURNER MD” Practice Location

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