Provider Demographics
NPI:1467614982
Name:TURNER, JACQUELYN SEYMOUR (MD)
Entity Type:Individual
Prefix:DR
First Name:JACQUELYN
Middle Name:SEYMOUR
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 TULANE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-988-5168
Mailing Address - Fax:047-547-9495
Practice Address - Street 1:1430 TULANE AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-5168
Practice Address - Fax:047-547-9495
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3997208600000X
OH35.097290208600000X
IL036.120857208600000X
GA069992208600000X
LA328638208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003135778AMedicaid
GA003135778BMedicaid