Provider Demographics
NPI:1790203024
Name:TURPEL, JORDAN ALISE (CNP)
Entity Type:Individual
Prefix:MRS
First Name:JORDAN
Middle Name:ALISE
Last Name:TURPEL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:ALISE
Other - Last Name:MACKEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:90 LIBBEY INDUSTRIAL PARKWAY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-3129
Mailing Address - Country:US
Mailing Address - Phone:339-201-4120
Mailing Address - Fax:
Practice Address - Street 1:90 LIBBEY INDUSTRIAL PARKWAY
Practice Address - Street 2:SUITE 105
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-3129
Practice Address - Country:US
Practice Address - Phone:339-201-4120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2294556363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health