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1346834652
JESSICA BURNELL
BLOOMINGTON, IN
NPI
1346834652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN 28227809A)
Enumeration Date
2021-02-26
Last Update Date
2021-04-05
Business Address
JESSICA BURNELL PMHNP-BC
3600 N PROW RD
BLOOMINGTON, IN 47404-1616
Phone number: 812-331-8000
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Mailing Address
JESSICA BURNELL PMHNP-BC
6106 MASTEN RD
COATESVILLE, IN 46121-9204
Phone number: 317-728-6469
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