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Individual

JESSICA RENE BURTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

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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