What is Jamie Burgess's NPI number?

The NPI number assigned to this healthcare provider is 1912036591, enumerated as a individual on March 2, 2007.

Where is the provider located?

The provider is located at 1510 BYRUM RD BLYTHEVILLE, AR 72315 and the phone number is (870) 532-2600.

What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

JAMIE LYNN BURGESS LPN - NPI 1912036591 - Licensed Practical Nurse in Blytheville, AR

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About Jamie Lynn Burgess Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMIE LYNN BURGESS LPN (NPI 1912036591) is an individual licensed practical nurse in Blytheville, Arkansas, licensed in Arkansas (L42934) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1912036591

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJAMIE LYNN BURGESSCredential: LPN

Location Address1510 BYRUM RDBlytheville, AR 72315-8033

Mailing AddressPo Box 64Hornersville, MO 63855-0064 · (573) 737-2321

Phone(870) 532-2600

Sole ProprietorNo

Enumeration DateMarch 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1912036591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in AR · L42934

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1510 BYRUM RD, Blytheville, AR 72315

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