Individual
MS. JACQUELINE RENAE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
7693 S. VIRGINIA ST., RENO, NV 89511-1114
(775) 480-9241
(775) 418-0430
Mailing address
7693 S. VIRGINIA ST., RENO, NV 89511-1114
(239) 699-8718
(775) 418-0430
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM661
CA
Other
Enumeration date
08/31/2015
Last updated
05/20/2025
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