Individual
JAPHIA VICTORIA BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, LMT
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28189714C
IN
171400000X
Health & Wellness Coach
—
—
225700000X
Massage Therapist
MT21405059
IN
Other
Enumeration date
10/02/2012
Last updated
09/25/2025
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