Individual
JENNIFER ROSE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2000
(505) 609-2259
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
27495
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
56806
NM
367500000X
Certified Registered Nurse Anesthetist
RN2323877
MA
Other
Enumeration date
05/18/2007
Last updated
12/04/2024
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