Provider Demographics
NPI:1649544305
Name:TURNER, HEAVEN JADE (ARNP)
Entity type:Individual
Prefix:
First Name:HEAVEN
Middle Name:JADE
Last Name:TURNER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 N DIXIE FWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32168-6201
Mailing Address - Country:US
Mailing Address - Phone:386-423-0505
Mailing Address - Fax:386-423-0515
Practice Address - Street 1:1055 N DIXIE FWY
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-6201
Practice Address - Country:US
Practice Address - Phone:386-423-0505
Practice Address - Fax:386-423-0515
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9227124363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily