Provider Demographics
NPI:1427351337
Name:TURNER, JADE (MD)
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9850 S MARYLAND PKWY STE A5-316
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7146
Mailing Address - Country:US
Mailing Address - Phone:702-366-1712
Mailing Address - Fax:702-749-9301
Practice Address - Street 1:9850 S MARYLAND PKWY STE A5-316
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7146
Practice Address - Country:US
Practice Address - Phone:702-366-1712
Practice Address - Fax:702-749-9301
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-15
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA90261207L00000X
NV13997207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV30408Medicare PIN