Active NPI
Nicole Turner, MD, MPH
- Family Medicine Physician
- University, MS
National Provider Identifier
1114123569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28831
- Practice address
- 400 Rebel Drive
2ND Floor
University, MS 38677-1590 - Phone
- (662) 915-6550
- NPI assigned
- Jun 22, 2007
- Last updated
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27537 | NE | |
| Family Medicine Physician | 207Q00000X | 28831 | MS | Primary |
Addresses
Primary practice location
400 Rebel Drive
2ND Floor
University, MS 38677-1590
Mailing address
4920 S 30TH St
Suite 103
Omaha, NE 68107-1590
Phone (402) 734-4110
Other names 1
- Nicole Mohlman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28831 | MS | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1114123569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 S 30TH ST",
"address_2": "SUITE 103",
"city": "OMAHA",
"state": "NE",
"postal_code": "681071590",
"telephone_number": "402-734-4110",
"fax_number": "402-734-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 REBEL DRIVE",
"address_2": "2ND FLOOR",
"city": "UNIVERSITY",
"state": "MS",
"postal_code": "386771590",
"telephone_number": "662-915-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "NICOLE",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "27537",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "28831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "MOHLMAN",
"credential": "MD, MPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in University, MS
- Kathleen E Sullivan
- Rebecca E Taylor, PHARMD
- Tapanga Taylor
- Rebecca Ann Thompson, WHNP-BC, ANP-BC
- Ansley Thurmond
- Univ. of Miss. Student Health Service
- University Mississippi Nutrition Clinic
- University of Mississippi (Student Health Center Pharmacy)
- University of Mississippi
- University of Ms Employee Health Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.