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Individual

NICKY R TURNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1012 BELMONT AVE, LA JUNTA, CO 81050-2101
(719) 383-5500
Mailing address
200 SUSANN DR, WEST FRANKFORT, IL 62896-1937
(618) 967-3166

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209006768
IL
363L00000X
Nurse Practitioner
Primary
APN.0995881-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370966854023
IL
Enumeration date
10/01/2007
Last updated
11/20/2020
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