# JEANINE LINEHAN-BURACK

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

## Provider details

- **NPI number:** 1336108141
- **Gender:** F
- **Credential:** P.A.-C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 0010-10111 | NC | — |
| 363AS0400X | Surgical Physician Assistant | 004463 | GA | Yes |
| 363AS0400X | Surgical Physician Assistant | 0110007257 | VA | — |
| 363AS0400X | Surgical Physician Assistant | PA-1741 | ID | — |
| 363AS0400X | Surgical Physician Assistant | PA0000004410 | TN | — |
| 363AS0400X | Surgical Physician Assistant | PA1200 | SC | — |
| 363AS0400X | Surgical Physician Assistant | PA13075 | TX | — |
| 363AS0400X | Surgical Physician Assistant | PA9111128 | FL | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 06/03/2022