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Individual

MRS. JENNIFER L BURLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
5645 MEADOW GROVE DR, GROVE CITY, OH 43123-8537
(614) 871-2476
Mailing address
5645 MEADOW GROVE DR, GROVE CITY, OH 43123-8537
(614) 871-2476

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN273627
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2516825
MEDICAID PROVODER NUMBER
OH
Enumeration date
10/21/2008
Last updated
10/21/2008
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