Individual
JEFFREY E BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 15TH ST E, TUSCALOOSA, AL 35401-3236
(205) 509-2941
Mailing address
405 BELCHER ST, CENTREVILLE, AL 35042-2946
(205) 926-2992
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-147352
AL
Other
Enumeration date
11/07/2019
Last updated
01/25/2021
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