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NPI Code Detail

MEDICARE: MS. JENNIFER LYNN TURSMAN P.A.-C

MEDICARE: MS. JENNIFER LYNN TURSMAN P.A.-C
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
1363A00000XPhysician Assistant5601003066MI

General Provider Information

NPI Number : 1780665950
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER LYNN TURSMAN P.A.-C
Provider Business Mailing Address
First Line : 6162 PENINSULA DR
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-1914
Country : US
Telephone Number : 231-933-8877
Fax Number : 231-935-0334
Provider Business Practice Location Address
First Line : 3922 CEDAR RUN RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-9687
Country : US
Telephone Number : 231-935-0322
Fax Number : 231-935-0334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 12/30/2020

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