Provider Demographics
NPI:1568440378
Name:TURNER, JOHNNA JOLENE (RD, LD)
Entity Type:Individual
Prefix:
First Name:JOHNNA
Middle Name:JOLENE
Last Name:TURNER
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SUNRISE BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23430-2323
Mailing Address - Country:US
Mailing Address - Phone:254-220-2789
Mailing Address - Fax:
Practice Address - Street 1:BLDG 576-NCD JEFFERSON AVE
Practice Address - Street 2:MCDONALD ARMY COMMUNITY HOSPITAL
Practice Address - City:FORT EUSTIS
Practice Address - State:VA
Practice Address - Zip Code:23604
Practice Address - Country:US
Practice Address - Phone:757-314-7755
Practice Address - Fax:757-314-7758
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT06565133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered