NPI 1013320373 CANDICE BRIANNE BURNSIDE APRN JONESBORO AR. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Candice Brianne Burnside - NPI: 1013320373

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: CANDICE BRIANNE BURNSIDE
NPI Number: 1013320373
Entity Type Code: Individual (1)
Gender: F
Credentials: APRN
License Number: A004095
Business Practice Address: 225 E Jackson Ave
Jonesboro, AR - 724013119
Business Phone Number: 8702071630
Business Fax Number:
Mailing Address: 225 E Jackson Ave,
JONESBORO
State: AR
Postal Code: 724013119
Phone Number: 8702071630
Fax Number:
NPI Enumeration Date: 06/04/2014
NPI Last Update Date: 05/07/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LF0000X
License Number: A004095
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AR
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Family
Taxonomy Definition:


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