Provider Demographics
NPI:1154660181
Name:TURNER, JILLIAN (LAC)
Entity Type:Individual
Prefix:
First Name:JILLIAN
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:JILLIAN
Other - Middle Name:
Other - Last Name:KINNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:10439 WATERS AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-2565
Mailing Address - Country:US
Mailing Address - Phone:315-750-0363
Mailing Address - Fax:
Practice Address - Street 1:2719 E MADISON ST STE 203
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4752
Practice Address - Country:US
Practice Address - Phone:206-568-7545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60311731171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist