Provider Demographics
NPI:1134684723
Name:TURNER, JESSE AARON (LVN)
Entity Type:Individual
Prefix:MR
First Name:JESSE
Middle Name:AARON
Last Name:TURNER
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 MENLO AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-5316
Mailing Address - Country:US
Mailing Address - Phone:559-801-6438
Mailing Address - Fax:
Practice Address - Street 1:2203 MENLO AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-5316
Practice Address - Country:US
Practice Address - Phone:559-801-6438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA272053164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty