Provider Demographics
NPI:1346582368
Name:TURNER, JAMARR
Entity Type:Individual
Prefix:
First Name:JAMARR
Middle Name:
Last Name:TURNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 W WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7771
Mailing Address - Country:US
Mailing Address - Phone:405-418-8413
Mailing Address - Fax:
Practice Address - Street 1:430 W WILSHIRE BLVD
Practice Address - Street 2:SUITES 9 & 10
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-7771
Practice Address - Country:US
Practice Address - Phone:405-418-8413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200111740Medicaid
OK200317530Medicaid