Provider Demographics
NPI:1255906673
Name:TURNER, GABRIELLE DELANA
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:DELANA
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:DELANA
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JOY OF TEARS
Mailing Address - Street 1:PO BOX 94881
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30377-1881
Mailing Address - Country:US
Mailing Address - Phone:678-964-5133
Mailing Address - Fax:
Practice Address - Street 1:1829 CHRISTOPHER DR
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30094-2729
Practice Address - Country:US
Practice Address - Phone:678-964-5133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)