Healthcare Provider Details

I. General information

NPI: 1962330308
Provider Name (Legal Business Name): JENILEE ANN BURKE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2317 E HOME RD
SPRINGFIELD OH
45503-2520
US

IV. Provider business mailing address

5412 LEYDEN LN
HUBER HEIGHTS OH
45424-3461
US

V. Phone/Fax

Practice location:
  • Phone: 937-817-4095
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number439648
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number439648
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: