Individual
JAYMI PARKER BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SAMUEL O MOSELEY DR, SELMA, AL 36701-6729
(334) 874-2550
Mailing address
6401 AL HIGHWAY 14, GREENSBORO, AL 36744-4151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-159309
AL
363LW0102X
Women's Health Nurse Practitioner
Primary
1-159309
AL
Other
Enumeration date
10/20/2019
Last updated
01/05/2023
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