Individual
JENNIFER LYNN BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
1609338789
WI
2084N0400X
Neurology Physician
Primary
74887
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609338789
—
WI
Enumeration date
04/05/2019
Last updated
08/07/2024
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