Individual
JENNIFER BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
15351 W BELL RD, SURPRISE, AZ 85374-4580
(877) 809-5092
Mailing address
12721 S 176TH LN, GOODYEAR, AZ 85338-5779
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7814
AZ
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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