Individual
JESSICA RENE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
123 1ST ST, VANDERBILT, TX 77991-0271
(361) 489-9903
Mailing address
PO BOX 271, VANDERBILT, TX 77991-0271
(361) 489-9903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1147315
TX
164X00000X
Licensed Vocational Nurse
206422
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1147315
RN
TX
01
—
206422
LVN
TX
Enumeration date
04/09/2018
Last updated
11/21/2025
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