Individual
BONNIE NICOLE BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
202 MILFORD ST APT 123, TUPELO, MS 38801-4649
(662) 401-9890
Mailing address
202 MILFORD ST APT 123, TUPELO, MS 38801-4649
(662) 401-9890
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
341917
MS
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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