Provider Demographics
NPI:1588788285
Name:TURNER, JO CORRINE
Entity type:Individual
Prefix:MS
First Name:JO
Middle Name:CORRINE
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:JO
Other - Middle Name:CORRINE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 9054
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-9054
Mailing Address - Country:US
Mailing Address - Phone:423-467-3600
Mailing Address - Fax:423-467-3644
Practice Address - Street 1:1006 US HIGHWAY 23 NORTH
Practice Address - Street 2:
Practice Address - City:WEBER CITY
Practice Address - State:VA
Practice Address - Zip Code:24290-7021
Practice Address - Country:US
Practice Address - Phone:276-225-0976
Practice Address - Fax:423-467-3644
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
200188401246RP1900X
247200000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other