Individual
JACKLYN BURKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1209 10TH ST, PORT HURON, MI 48060-5262
(810) 985-8170
Mailing address
1209 10TH ST, PORT HURON, MI 48060-5262
(810) 985-8170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012526
MI
Other
Enumeration date
07/23/2024
Last updated
07/25/2024
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