NPI | 1265631113 |
---|---|
Former Name | JAMIE M BURGESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9208190) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9208190) |
363LF0000X Nurse Practitioner, Family (Licence: FL arnp9208190) | |
Enumeration Date | 2007-07-12 |
Last Update Date | 2025-02-24 |