Individual
JEANNA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 PRINGLE WAY STE 601, RENO, NV 89502-1472
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
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
01/20/2021
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