Individual
JENNIFER BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP, RN
Contact information
Practice address
30795 23 MILE RD, CHESTERFIELD, MI 48047-5720
(586) 421-3000
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4704297766
MI
363LG0600X
Gerontology Nurse Practitioner
4704297766
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704297766
MI
390200000X
Student in an Organized Health Care Education/Training Program
4704297766
MI
Other
Enumeration date
05/13/2019
Last updated
05/22/2023
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