Individual
JENNIFER BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
119 BOONE RIDGE DR STE 201, JOHNSON CITY, TN 37615-8000
(423) 282-1480
Mailing address
119 BOONE RIDGE DR STE 201, JOHNSON CITY, TN 37615-8000
(423) 282-1480
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024173041
VA
363LF0000X
Family Nurse Practitioner
Primary
20422
TN
Other
Enumeration date
09/19/2015
Last updated
03/29/2016
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