Individual
CASSONDRA BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1250 S MANUFACTURERS ROW, TRENTON, TN 38382-3632
(731) 855-7601
(731) 855-7603
Mailing address
72 SMALL OAK DR, HUMBOLDT, TN 38343-8644
(731) 695-2386
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000016699
TN
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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