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NPI Code Detail

MEDICARE: MRS. MARNESHIA JEANELL BURNEY

MEDICARE: MRS. MARNESHIA JEANELL BURNEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1508671439
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARNESHIA JEANELL BURNEY
Provider Business Mailing Address
First Line : 1725 NE 4TH AVE
Second Line :
City : GAINESVILLE
State : FL
Zip : 32641-5862
Country : US
Telephone Number : 352-258-5341
Fax Number :
Provider Business Practice Location Address
First Line : 1608 NE 4TH AVE
Second Line :
City : GAINESVILLE
State : FL
Zip : 32641-5755
Country : US
Telephone Number : 352-258-5341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2025
Last Update Date : 02/10/2025

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Directions to “ MRS. MARNESHIA JEANELL BURNEY ” Practice Location

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