Healthcare Provider Details

I. General information

NPI: 1497913081
Provider Name (Legal Business Name): JERRI LOUISE TURNER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 ARNOLD ST BLDG 5801
TINKER AFB OK
73145-8105
US

IV. Provider business mailing address

5700 ARNOLD ST BLDG 5801
TINKER AFB OK
73145-8105
US

V. Phone/Fax

Practice location:
  • Phone: 405-734-4393
  • Fax: 405-734-5399
Mailing address:
  • Phone: 405-734-4393
  • Fax: 405-734-5399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: