Individual
JENNIFER LANE BURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
721 TILGHMAN DR, SUITE 100, DUNN, NC 28334-6063
(910) 891-4202
Mailing address
721 TILGHMAN DR, SUITE 100, DUNN, NC 28334-6063
(910) 891-4202
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01233
NC
363A00000X
Physician Assistant
10012133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102672
—
NC
Enumeration date
02/07/2008
Last updated
07/01/2025
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