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General NPI Number Information
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NPI Number | 1952206179
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Entity Type | Individual
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Provider Name | JOHNATHAN BURNETTE PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 2270 HENDERSONVILLE RD STE 1
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City | ARDEN
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State | NC
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Zip | 28704-2734
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Country | US
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Telephone | 828-608-0892
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Fax |
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Provider Business Mailing Address
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Address Line | 4680 PEA RIDGE RD
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City | MORGANTON
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State | NC
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Zip | 28655-9596
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Country | US
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Telephone | 828-228-5502
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5025656
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License Number State | NC
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