Provider Demographics
NPI:1053960435
Name:MITCHELL-TURNER, NAIMA (RN)
Entity type:Individual
Prefix:
First Name:NAIMA
Middle Name:
Last Name:MITCHELL-TURNER
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4213 KAREN CT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-3559
Mailing Address - Country:US
Mailing Address - Phone:410-830-0976
Mailing Address - Fax:
Practice Address - Street 1:1111 W MOCKINGBIRD LN STE 1030
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-5028
Practice Address - Country:US
Practice Address - Phone:972-489-5552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-09
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
TX976517251B00000X
TX220346251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management