Provider Demographics
NPI:1740351246
Name:TURNER, JOHN ELLIS (MSN)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ELLIS
Last Name:TURNER
Suffix:
Gender:M
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7047 21ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5713
Mailing Address - Country:US
Mailing Address - Phone:206-731-3061
Mailing Address - Fax:206-731-4350
Practice Address - Street 1:325 9TH AVE # 359776
Practice Address - Street 2:TB CONTROL PROGRAM, HARBORVIEW MEDICAL CENTER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-731-3061
Practice Address - Fax:206-731-4350
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30001567363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9602442Medicaid
WA9602442Medicaid