Provider Demographics
NPI:1861885832
Name:TURLEY, SHOUNDA (APRN-NPC)
Entity type:Individual
Prefix:
First Name:SHOUNDA
Middle Name:
Last Name:TURLEY
Suffix:
Gender:F
Credentials:APRN-NPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2485 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:JAY
Mailing Address - State:OK
Mailing Address - Zip Code:74346-2201
Mailing Address - Country:US
Mailing Address - Phone:918-253-2550
Mailing Address - Fax:
Practice Address - Street 1:2485 N MAIN ST
Practice Address - Street 2:
Practice Address - City:JAY
Practice Address - State:OK
Practice Address - Zip Code:74346-2201
Practice Address - Country:US
Practice Address - Phone:918-253-2550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-14
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK62610163WG0000X
OKF0715478363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice