Individual provider Active NPI

Jenifer Lynn Turner

  • Primary Care Nurse Practitioner
  • Marianna, FL
National Provider Identifier
1154139277
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11036350 Issued in FL
Practice address
4415 Lucien St
Marianna, FL 32446-2210
Phone
(850) 693-6433
NPI assigned
Dec 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11036350 FL
Primary Care Nurse Practitioner 363LP2300X APRN11036350 FL Primary

Addresses

Primary practice location

4415 Lucien St
Marianna, FL 32446-2210

Mailing address

4415 Lucien St
Marianna, FL 32446-2210
Phone (850) 693-6433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250217002142 FL Practitioner - Nurse Practitioner 9739609025 Reassigns benefits to 1 organization
I20260610002452 GA Practitioner - Nurse Practitioner 9739609025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ibrahim Heart Clinic PLLCGroup PAC ID 4688958648, 43 clinicians

Practice addresses (Care Compare)

1590 Island LN
Suite 73
Fleming Island, FL 32003-4409
Phone (904) 580-4730

1921 Alice St
Suite 4a
Waycross, GA 31501-6202
Phone (904) 580-4730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11036350FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ibrahim Heart Clinic PLLC CurrentSince Jan 20, 2025 Accepting new patients

Locations

213 S US Highway 17
Ste A
East Palatka, FL 32131
Phone (786) 589-7248

215 S US Highway 17
East Palatka, FL 32131
Phone (386) 232-9203

1590 Island Ln
Ste 73
Fleming Island, FL 32003

5150 Belfort Rd
Bldg 400
Jacksonville, FL 32256
Phone (904) 296-0900

319 W Call St
Ste B
Starke, FL 32091
Phone (904) 368-9102

1921 Alice St
Ste 4A
Waycross, GA 31501
Phone (912) 283-5616

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1154139277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 LUCIEN ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462210",
            "telephone_number": "850-693-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 LUCIEN ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324462210",
            "telephone_number": "850-693-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "JENIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11036350",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11036350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.