Provider Demographics
NPI:1518568617
Name:TURNER, JENNIFER M (DPH)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:M
Last Name:TURNER
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10711 E 76TH ST # 76TH
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2515
Mailing Address - Country:US
Mailing Address - Phone:918-813-1499
Mailing Address - Fax:
Practice Address - Street 1:10711 E 76TH ST # 76TH
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2515
Practice Address - Country:US
Practice Address - Phone:918-813-1499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK113701835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric