Healthcare Provider Details

I. General information

NPI: 1831761881
Provider Name (Legal Business Name): JENNIFER TURNER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2021
Last Update Date: 03/28/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 MERCANTILE DR STE 100
RALEIGH NC
27609-6881
US

IV. Provider business mailing address

110 BOONE SQUARE ST STE 29A
HILLSBOROUGH NC
27278-2665
US

V. Phone/Fax

Practice location:
  • Phone: 984-222-0026
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5014696
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: