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Individual

DR. JACQUELYN MARIE BURNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 DOCTORS DR STE B, JACKSONVILLE, NC 28546-6308
(910) 634-3555
(910) 442-8826
Mailing address
200 DOCTORS DR STE B, JACKSONVILLE, NC 28546-6308
(910) 634-3555
(910) 442-8826

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2019-02466
NC
208000000X
Pediatrics Physician
4301104440
MI

Other

Enumeration date
06/08/2011
Last updated
07/10/2024
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