Burgess, Jodi Ann

Burgess, Jodi Ann is an sole proprietor health care provider with primary practice located at 701 Medical Park Dr , Humboldt TN 38343-3034. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Burgess, Jodi Ann can be contacted via phone (731) 784-4300.

Contact Information

Primary practice address
701 Medical Park Dr Humboldt TN 38343-3034
Phone: (731) 784-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2584 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2584 Tennessee

Profile Details

NPI number 1508275678
LBN Legal business name Burgess, Jodi Ann
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2014
Last updated Oct 10th, 2017 - about 9 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.

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