Healthcare Provider Details

I. General information

NPI: 1477457802
Provider Name (Legal Business Name): JADA JENISE TURNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 BELFORT RD STE 1003
JACKSONVILLE FL
32216-5876
US

IV. Provider business mailing address

4205 BELFORT RD STE 1003
JACKSONVILLE FL
32216-5876
US

V. Phone/Fax

Practice location:
  • Phone: 904-450-6330
  • Fax: 833-347-0804
Mailing address:
  • Phone: 904-450-6330
  • Fax: 833-347-0804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number69654
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: