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:
Health care specialties
| Specialty | Code | License # | 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 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093892507 | NPPES |
| Other | 2240115000 | AMERIHEALTH/KEYSTONE/PC |
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