Individual
JACOB BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP-AGPC
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-8901
(907) 729-8607
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-8901
(907) 729-8607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
197073
AK
363L00000X
Nurse Practitioner
200760
AK
363LG0600X
Gerontology Nurse Practitioner
Primary
200760
AK
Other
Enumeration date
10/06/2022
Last updated
02/07/2023
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