DR. JACQUELINE ROSENJACK BURCHUM DNSC, APRN, BC
NPI 1861567471
Nurse Practitioner - Family in Camden, TN
Active since November 21, 2006
About Dr. Jacqueline Rosenjack Burchum Dnsc, Aprn, Bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELINE ROSENJACK BURCHUM DNSC, APRN, BC (NPI 1861567471) is an individual family provider in Camden, Tennessee, licensed in Tennessee (APN0000005674) and active in the NPI registry since November 2006.
NPPES Registry Identity
NPI1861567471
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. JACQUELINE ROSENJACK BURCHUMCredential: DNSC, APRN, BC
Location Address410 SAND PIT LOOPCamden, TN 38320-6426
Mailing Address410 Sand Pit LoopCamden, TN 38320-6426 · (731) 584-3567
Phone(731) 584-3567
Sole ProprietorYes
Enumeration DateNovember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861567471 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · APN0000005674
410 SAND PIT LOOP, Camden, TN 38320
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861567471, enumerated as an "individual" on November 21, 2006.
The provider is located at 410 SAND PIT LOOP CAMDEN, TN 38320 and the phone number is (731) 584-3567.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
