Individual
JENNA BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2329923
MA
363LW0102X
Women's Health Nurse Practitioner
APN0000025019
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2329923
MA CNP LICENSE
MA
Enumeration date
10/18/2018
Last updated
01/05/2022
Update your record
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