Healthcare Provider Details

I. General information

NPI: 1699557702
Provider Name (Legal Business Name): JESSICA ELIZABETH TURNER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20480 VERNIER RD
HARPER WOODS MI
48225-1411
US

IV. Provider business mailing address

2024 ROBINA AVE
BERKLEY MI
48072-1227
US

V. Phone/Fax

Practice location:
  • Phone: 248-938-0141
  • Fax:
Mailing address:
  • Phone: 248-978-6868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601011870
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: