Individual
JENNIFER M BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1814 WESTCHESTER DR, SUITE 101, HIGH POINT, NC 27262-7299
(336) 802-2150
(336) 802-2151
Mailing address
1701 WESTCHESTER DR, SUITE 850, HIGH POINT, NC 27262-7008
(336) 802-2536
(336) 802-2534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05673
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508250523
—
NC
Enumeration date
03/27/2015
Last updated
06/22/2015
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