Provider Demographics
NPI:1235556937
Name:TURNER, JOHNATHON RUSSELL (RPA)
Entity Type:Individual
Prefix:MR
First Name:JOHNATHON
Middle Name:RUSSELL
Last Name:TURNER
Suffix:
Gender:M
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9048 SUGAR ESTATE
Mailing Address - Street 2:CATH LAB
Mailing Address - City:CHARLOTTE AMALIE
Mailing Address - State:USVI
Mailing Address - Zip Code:00802
Mailing Address - Country:UM
Mailing Address - Phone:340-776-8311
Mailing Address - Fax:340-714-6310
Practice Address - Street 1:9048 SUGAR EST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE AMALIE
Practice Address - State:VI
Practice Address - Zip Code:00802-3634
Practice Address - Country:US
Practice Address - Phone:340-776-8311
Practice Address - Fax:340-714-6310
Is Sole Proprietor?:No
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA05GA1174174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist