Individual
JENNIFER DIANE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 CANYON RD, BULLHEAD CITY, AZ 86442-8624
(928) 704-4499
(928) 704-4949
Mailing address
2500 CANYON RD STE A1, BULLHEAD CITY, AZ 86442-8492
(928) 704-4499
(928) 704-4949
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
331686
AZ
Other
Enumeration date
09/30/2025
Last updated
12/10/2025
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