Individual
MS. BRENDA J. BURNEY-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2356 SUTTER ST, SAN FRANCISCO, CA 94115-3006
(415) 885-7788
(415) 885-7718
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
250554
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002505540
—
CA
Enumeration date
06/02/2006
Last updated
05/06/2008
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