Individual
JENNIFER MCGLONE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 GRESHAM DR STE 8600, NORFOLK, VA 23507-1904
(757) 388-6005
(757) 388-6006
Mailing address
600 GRESHAM DR STE 8600, NORFOLK, VA 23507-1904
(757) 388-6005
(757) 388-6006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002161
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10005601P
OPTIMA HEALTH
VA
01
—
139178
BCBS OF VA
VA
05
—
1922027671
—
VA
01
—
P00844142
RAILROAD MEDICARE
VA
Enumeration date
07/19/2006
Last updated
11/18/2020
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