Individual
JESSICA LYNN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5830 HIGHWAY 5, CABOT, AR 72023-7328
(501) 941-1376
(501) 941-2793
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
214955
AR
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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