Individual
JENNA RENEE BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1237 HARDING PL, STE 4300, CHARLOTTE, NC 28204
(704) 373-0212
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11180
NC
Other
Enumeration date
06/12/2015
Last updated
07/19/2024
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