Individual
JESSICA BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1211 TECH BLVD STE 125B, TAMPA, FL 33619-7846
(813) 999-1516
Mailing address
13438 SILVERCREEK DR, RIVERVIEW, FL 33579-7146
(334) 464-2505
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11025838
FL
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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