MEDICARE: JENNIFER BURNS N.D.

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
1	175F00000X	Naturopath	05-885	AZ

General Provider Information

NPI Number	:	1871693937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BURNS N.D.

Provider Business Mailing Address
First Line	:	34406 N 27TH DR
Second Line	:	STE 114
City	:	PHOENIX
State	:	AZ
Zip	:	85085-7730
Country	:	US
Telephone Number	:	623-252-0376
Fax Number	:	623-399-1059

Provider Business Practice Location Address
First Line	:	34406 N 27TH DR
Second Line	:	SUITE 140
City	:	PHOENIX
State	:	AZ
Zip	:	85085-6082
Country	:	US
Telephone Number	:	623-521-8083
Fax Number	:	623-399-1059

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	03/02/2017

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