Individual
JENNIFER J BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-2157
(218) 927-4130
Mailing address
200 BUNKER HILL DR, AITKIN, MN 56431-1865
(218) 927-2157
(218) 927-4130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R164473-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770711863
—
MN
Enumeration date
06/26/2009
Last updated
11/05/2020
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