MEDICARE: JACQUELINE 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	363L00000X	Nurse Practitioner	6420	CA
2	363A00000X	Physician Assistant	PA14895	CA

General Provider Information

NPI Number	:	1366884520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE TURNER

Provider Business Mailing Address
First Line	:	4195 CHINO HILLS PKWY # 167
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-2618
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4195 CHINO HILLS PKWY # 167
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-2618
Country	:	US
Telephone Number	:	909-373-6649
Fax Number	:

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

Provider Enumeration Date	:	07/29/2013
Last Update Date	:	11/10/2025

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Directions to “ JACQUELINE TURNER ” Practice Location

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