Provider Demographics
NPI:1366753287
Name:TURNER, JENNIE RUTH (LMT)
Entity type:Individual
Prefix:MS
First Name:JENNIE
Middle Name:RUTH
Last Name:TURNER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 BELLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-6022
Mailing Address - Country:US
Mailing Address - Phone:864-497-3964
Mailing Address - Fax:
Practice Address - Street 1:103 BELLVIEW DR
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-6022
Practice Address - Country:US
Practice Address - Phone:864-497-3964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3837247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other