Healthcare Provider Details

I. General information

NPI: 1013403567
Provider Name (Legal Business Name): JAZMIN SANTIAGO TURNEY DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2018
Last Update Date: 12/15/2020
Certification Date: 12/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 E SHEA BLVD
SCOTTSDALE AZ
85259-5452
US

IV. Provider business mailing address

7442 W VIA DEL SOL DR
GLENDALE AZ
85310-5289
US

V. Phone/Fax

Practice location:
  • Phone: 334-389-5299
  • Fax:
Mailing address:
  • Phone: 334-389-5299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number246628
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRNA183045
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number246628
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0000213332
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: