Individual
MS. TEENA MARIA BURCHIANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2015 JEFFERSON ST, JACKSONVILLE, FL 32206-3531
(904) 588-1800
(904) 588-1300
Mailing address
PO BOX 116304, ATLANTA, GA 30368-6304
(904) 588-1800
(904) 588-1300
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2743102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3052699-00
—
FL
05
—
326712903A
—
GA
Enumeration date
03/27/2006
Last updated
10/27/2011
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