Individual
MAIA JADE TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2301 COVE AVE, LA GRANDE, OR 97850-3906
(541) 962-8800
(541) 963-5272
Mailing address
2301 COVE AVE, LA GRANDE, OR 97850-3906
(541) 962-8800
(541) 963-5272
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201910422LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7841139
DRIVERS LICENSE
OR
Enumeration date
12/13/2022
Last updated
12/13/2022
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