Individual
JAMIE LYNN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1510 BYRUM RD, BLYTHEVILLE, AR 72315-8033
(870) 532-2600
Mailing address
PO BOX 64, HORNERSVILLE, MO 63855-0064
(573) 737-2321
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L42934
AR
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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