Provider Demographics
NPI:1568292795
Name:TURLEY, JESSICA RENE'E
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:RENE'E
Last Name:TURLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 N MILL ST
Mailing Address - Street 2:
Mailing Address - City:DE GRAFF
Mailing Address - State:OH
Mailing Address - Zip Code:43318-9659
Mailing Address - Country:US
Mailing Address - Phone:937-210-7566
Mailing Address - Fax:
Practice Address - Street 1:108 N MILL ST
Practice Address - Street 2:
Practice Address - City:DE GRAFF
Practice Address - State:OH
Practice Address - Zip Code:43318-9659
Practice Address - Country:US
Practice Address - Phone:937-210-7566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant