MEDICARE: JESSICA TURNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1316087471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA TURNER

Provider Business Mailing Address
First Line	:	7060 OLD BROWNSVILLE RD.
Second Line	:
City	:	ARLINGTON
State	:	TN
Zip	:	38002-7960
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7060 OLD BROWNSVILLE RD
Second Line	:
City	:	ARLINGTON
State	:	TN
Zip	:	38002-7960
Country	:	US
Telephone Number	:	901-252-7600
Fax Number	:	901-252-7620

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	07/08/2007

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Directions to “ JESSICA TURNER ” Practice Location

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