Individual
JENNIFER ANN BURTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
2629 N CAUSEWAY BLVD, METAIRIE, LA 70002-6049
(504) 835-0565
Mailing address
280 AUTUMN WIND LN, MANDEVILLE, LA 70471-7602
(985) 960-6222
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN 106869 AP05448
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110142
—
LA
05
—
04789221
—
MS
Enumeration date
01/28/2009
Last updated
03/09/2015
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