Provider Demographics
NPI:1780321232
Name:TURNER, JESSICA HOPE (PMHNP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:HOPE
Last Name:TURNER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 TURKEY FORK RD
Mailing Address - Street 2:
Mailing Address - City:LUCEDALE
Mailing Address - State:MS
Mailing Address - Zip Code:39452-2947
Mailing Address - Country:US
Mailing Address - Phone:228-219-5304
Mailing Address - Fax:
Practice Address - Street 1:57 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:LUCEDALE
Practice Address - State:MS
Practice Address - Zip Code:39452-6583
Practice Address - Country:US
Practice Address - Phone:601-947-4274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-17
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS905516363LP0808X
MS896952163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health