Individual
JESSICA RENEE BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 MORNINGSIDE DR APT 22, WINTERSVILLE, OH 43953-7333
(740) 921-4527
Mailing address
6 MORNINGSIDE DR APT 22, WINTERSVILLE, OH 43953-7333
(740) 921-4527
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125553494
—
WV
05
—
1356607394
—
WV
05
—
1821206228
—
WV
Enumeration date
04/15/2022
Last updated
04/15/2022
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