Individual
JEQUAILIA N BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 COLLEGE ST, COLUMBUS, MS 39701-5821
(662) 241-6217
Mailing address
350 WHITE STATION RD, WEST POINT, MS 39773-0457
(662) 295-9657
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0954
MS
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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