Individual
JACQUELINE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3111 ROUTE 38 STE 11, PMB 120, MOUNT LAUREL, NJ 08054-9762
(609) 261-5755
(609) 261-7199
Mailing address
2 TREETOP LN, WESTAMPTON, NJ 08060-4403
(609) 702-8595
(609) 261-7199
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN08660000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2240115000
AMERIHEALTH/KEYSTONE/PC
—
Enumeration date
11/01/2006
Last updated
07/08/2007
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