Individual
DR. JENNIFER E BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3700 CLIFF DR, FORT SMITH, AR 72903-5954
(479) 259-9286
Mailing address
3700 CLIFF DRIVE, FORT SMITH, AR 72903
(479) 259-9286
(479) 259-9362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-2286
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080169353
RR MEDICARE
—
05
—
100075730A
—
OK
05
—
139084001
—
AR
01
—
5L305
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/30/2006
Last updated
08/11/2017
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