Individual
DR. JASON RAY BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
55939
TN
208000000X
Pediatrics Physician
67978
WI
208000000X
Pediatrics Physician
Primary
MD2022-0836
NM
208000000X
Pediatrics Physician
N6201
TX
208D00000X
General Practice Physician
MD465526
PA
208D00000X
General Practice Physician
N6201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659538197
—
WI
Enumeration date
05/21/2008
Last updated
03/05/2026
Update your record
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