Individual
JEANNA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5265 VISTA BLVD BLDG B, SPARKS, NV 89436-0836
(775) 352-5300
(775) 352-5334
Mailing address
5265 VISTA BLVD BLDG B, SPARKS, NV 89436-0836
(775) 352-5300
(775) 352-5334
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2375
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15013699
CAQH #
NV
01
—
PA2375
NV PA LICENSE
NV
Enumeration date
07/16/2019
Last updated
08/06/2026
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