Burn, Jennifer Lane

Burn, Jennifer Lane is an individual health care provider with primary practice located at 721 Tilghman Dr Suite 100, Dunn NC 28334-6063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Burn, Jennifer Lane can be contacted via phone (910) 891-4202.

Contact Information

Primary practice address
721 Tilghman Dr Suite 100 Dunn NC 28334-6063
Phone: (910) 891-4202
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10012133 North Carolina

Profile Details

NPI number 1255519708
LBN Legal business name Burn, Jennifer Lane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2008
Last updated Nov 18th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255519708 NPPES
North Carolina MEDICAID 8102672

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