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Individual

ASHLIE JORDYN BURROW

Active
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Individual

ASHLIE JORDYN BURROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
252336
GA
363LF0000X
Family Nurse Practitioner
13107426-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
RN252336
GA

Other

Enumeration date
03/05/2021
Last updated
01/21/2025
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