| NPI | 1700321387 |
|---|---|
| Former Name | JACLYN BURLESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3016259) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9309418) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 3-001307) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2026-04-25 |