Individual
JACQUELINE HANNA BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
166 DEFENSE HWY STE 203, ANNAPOLIS, MD 21401-8922
(410) 684-3806
Mailing address
166 DEFENSE HWY STE 203, ANNAPOLIS, MD 21401-8922
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
AC005788
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AC005788
MD
Other
Enumeration date
08/21/2023
Last updated
07/25/2024
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