Individual
JESSICA NICOLE BURDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 FATHER JOE MURPHY DR, SHAWNEE, OK 74801-8663
(405) 830-2938
Mailing address
2202 W BENEDICT ST, SHAWNEE, OK 74801-2138
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
09/11/2025
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