Provider Demographics
NPI:1265801708
Name:JACKSON TURNER, LASHAWN (DRPH)
Entity type:Individual
Prefix:
First Name:LASHAWN
Middle Name:
Last Name:JACKSON TURNER
Suffix:
Gender:F
Credentials:DRPH
Other - Prefix:
Other - First Name:LASHAWN
Other - Middle Name:
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2828 NOB HILL CT NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35810-3706
Mailing Address - Country:US
Mailing Address - Phone:256-348-5139
Mailing Address - Fax:
Practice Address - Street 1:917 MERCHANTS WALK SW STE E
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5255
Practice Address - Country:US
Practice Address - Phone:256-801-1600
Practice Address - Fax:256-801-2011
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-15
Last Update Date:2025-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
AL3822101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL330000014Medicaid