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General NPI Number Information
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NPI Number | 1023495801
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Entity Type | Individual
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Provider Name | JESSICA BURKETT ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/30/2015
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 2600 LAKE LUCIEN DR STE 112
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City | MAITLAND
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State | FL
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Zip | 32751-7233
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Country | US
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Telephone | 321-207-9029
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Fax | 844-410-7960
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Provider Business Mailing Address
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Address Line | 3627 UNIVERSITY BLVD S STE 255
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4230
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Country | US
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Telephone | 904-396-4666
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15750-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 27349
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95030777
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 114760
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A160390
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License Number State | IA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP 9303822
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License Number State | FL
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