Healthcare Provider Details

I. General information

NPI: 1366575862
Provider Name (Legal Business Name): MS. JENNIFER DIANE BURTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 DORADO DR
ST AUGUSTINE FL
32086-7078
US

IV. Provider business mailing address

1003 DORADO DR
ST AUGUSTINE FL
32086-7078
US

V. Phone/Fax

Practice location:
  • Phone: 904-794-5608
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA8738
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: