Provider Demographics
NPI:1487072187
Name:TURNER, SUSAN (LPN)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 W CAROLINA ST
Mailing Address - Street 2:PO BOX 719
Mailing Address - City:BLACKSBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29702-1105
Mailing Address - Country:US
Mailing Address - Phone:864-839-5636
Mailing Address - Fax:
Practice Address - Street 1:1146 BOILING SPRINGS HWY
Practice Address - Street 2:ATTN SCHOOL NURSE
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341-3708
Practice Address - Country:US
Practice Address - Phone:864-487-1256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13687P164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse