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Individual

JACQUELINE E TURNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-4100
(208) 814-4908
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP786A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807712600
ID
01
P00431117
MCRR
ID
Enumeration date
05/03/2007
Last updated
09/06/2012
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