| Doctor Name: | JACQUELINE BURNS |
| NPI Number: | 1093892507 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 26NN08660000 |
| Business Practice Address: | 3111 Route 38 Ste 11 Pmb 120 Mount Laurel, NJ - 080549762 |
| Business Phone Number: | 6092615755 |
| Business Fax Number: | 6092617199 |
| Mailing Address: | 2 Treetop Ln, WESTAMPTON |
| State: | NJ |
| Postal Code: | 080604403 |
| Phone Number: | 6097028595 |
| Fax Number: | 6092617199 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 26NN08660000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |