Individual
MR. JONATHAN WAYNE BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2061
(615) 296-9949
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2061
(615) 296-9949
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN10090
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36262671
—
TN
Enumeration date
06/14/2006
Last updated
02/25/2008
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