Individual
JUSTIN BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1229 E SEMINOLE ST STE 230, SPRINGFIELD, MO 65804-2227
(417) 888-5696
Mailing address
1229 E SEMINOLE ST STE 230, SPRINGFIELD, MO 65804-2227
(417) 888-5696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020010062
MO
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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