Individual
JENNIFER ELLEN BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
29 PLANTATION PARK DR, SUITE 204, BLUFFTON, SC 29910-9001
(843) 706-0848
Mailing address
PO BOX 280, BLUFFTON, SC 29910
(843) 706-0851
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
126223
NC
367A00000X
Advanced Practice Midwife
Primary
APN2153
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MW 146
—
SC
Enumeration date
02/07/2006
Last updated
02/15/2012
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