Provider Demographics
NPI:1639340599
Name:TURANO, JODI ANNE (DO)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:ANNE
Last Name:TURANO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 W KINGSHIGHWAY
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-4164
Mailing Address - Country:US
Mailing Address - Phone:870-205-2002
Mailing Address - Fax:870-205-2044
Practice Address - Street 1:1110 W KINGSHIGHWAY
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-4164
Practice Address - Country:US
Practice Address - Phone:870-205-2002
Practice Address - Fax:870-205-2044
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102202972207V00000X
NY238884207V00000X
ARE-10904207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAV V4175AMedicare PIN
VAV V4175BMedicare PIN