Burns, Jacqueline

Burns, Jacqueline is an individual health care provider with primary practice located at 3111 Route 38 Ste 11 Pmb 120, Mount Laurel NJ 08054-9762. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Burns, Jacqueline can be contacted via phone (609) 261-5755.

Contact Information

Primary practice address
3111 Route 38 Ste 11 Pmb 120 Mount Laurel NJ 08054-9762
Phone: (609) 261-5755
Fax: (609) 261-7199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NN08660000 New Jersey

Profile Details

NPI number 1093892507
LBN Legal business name Burns, Jacqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1093892507 NPPES
Other 2240115000 AMERIHEALTH/KEYSTONE/PC

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