Individual
JENNIFER BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 E MANSION ST STE 1E, MARSHALL, MI 49068-1167
(269) 781-3938
Mailing address
215 E MANSION ST STE 1E, MARSHALL, MI 49068-1167
(269) 781-3938
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704241030
MI
Other
Enumeration date
10/13/2014
Last updated
12/16/2019
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