| NPI | 1518490424 |
|---|---|
| Former Name | JENNIFER B BURRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT APRN-177068) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133483) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2026-08-24 |