Burgess, Misti Jackson

Burgess, Misti Jackson is an individual health care provider with primary practice located at 600 Delaware St , Greenville SC 29605-5495. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burgess, Misti Jackson can be contacted via phone (864) 591-1839.

Contact Information

Primary practice address
600 Delaware St Greenville SC 29605-5495
Phone: (864) 591-1839
Fax: (864) 582-5023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN 2665 South Carolina

Profile Details

NPI number 1538140025
LBN Legal business name Burgess, Misti Jackson
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jun 29th, 2020 - about 6 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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