MEDICARE: JENNIFER BURNETT FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1-126773	AL

General Provider Information

NPI Number	:	1013800895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BURNETT FNP-C

Provider Business Mailing Address
First Line	:	1648 PELHAM RD S
Second Line	:
City	:	JACKSONVILLE
State	:	AL
Zip	:	36265-3312
Country	:	US
Telephone Number	:	256-365-0455
Fax Number	:

Provider Business Practice Location Address
First Line	:	41375 US HIGHWAY 280 STE B
Second Line	:
City	:	SYLACAUGA
State	:	AL
Zip	:	35150-8146
Country	:	US
Telephone Number	:	256-225-3392
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2025
Last Update Date	:	03/05/2026

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