Healthcare Provider Details

I. General information

NPI: 1477350437
Provider Name (Legal Business Name): JOELLE OLIVETTE BRITAINY BURKE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 WYOMING AVE
WEST PITTSTON PA
18643-2742
US

IV. Provider business mailing address

901 WYOMING AVE
WEST PITTSTON PA
18643-2742
US

V. Phone/Fax

Practice location:
  • Phone: 570-824-4111
  • Fax:
Mailing address:
  • Phone: 570-824-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA067095
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: