# JENNIFER ELDER BURGART

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003010463
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2012-02044 | NC | Yes |
| 207Q00000X | Family Medicine Physician | 52437 | TN | — |

## Other

- **Enumeration date:** 06/12/2007
- **Last updated:** 11/14/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | -002 -003 | TRICARE/CHAMPUS | VA |
| 01 | — | 07868 | BC/BS | NC |
| 01 | — | 10022001 | SENTARA/OPTIMA | VA |
| 05 | — | 1003010463 | — | VA |
| 01 | — | 2180421 | UHC/MAMSI | VA |
| 01 | — | 302882 | ANTHEM | VA |
| 01 | — | 302884 | ANTHEM PFM | VA |
| 05 | — | 5907686 | — | NC |
| 01 | — | 6039935 | BCBS TENNESSEE | TN |
| 01 | — | PAR | MULTIPLAN | VA |
| 05 | — | Q000626 | — | TN |