Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN9296088 | FL |
NPI | 1073022042 |
---|---|
Provider Name | James Daxton Turner |
First Address | Jacksonville, FL 32207-8567 |
Second Address | Jacksonville, FL 32207-8567 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2017 |
Last Update Date | 21/09/2017 |