Individual
JESSICA RENEE BURCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(614) 223-1650
Mailing address
765 PIERCE DR, COLUMBUS, OH 43223-2425
(614) 223-1650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
387557
OH
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
387557
OH
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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