Basic Information
| Provider Information | |||||||||
| NPI: | 1578660882 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TURNER | ||||||||
| FirstName: | JANE | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | B240 LIFE SCIENCES BLDG | ||||||||
| Address2: | DEPT OF PEDIATRICS & HUMAN DEVELOPMENT | ||||||||
| City: | EAST LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48824 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173553308 | ||||||||
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| Practice Location | |||||||||
| Address1: | 138 SERVICE ROAD | ||||||||
| Address2: | SUITE A110 | ||||||||
| City: | EAST LANSING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488241313 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173533003 | ||||||||
| FaxNumber: | 5174321319 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2006 | ||||||||
| LastUpdateDate: | 12/15/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 4301050648 | MI | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 1781852 | 05 | MI | MEDICAID |