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NPI Code Detail

MEDICARE: JOLIE NICOLE BURDETTE

MEDICARE: JOLIE NICOLE BURDETTE
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
1106S00000XBehavior TechnicianAL

General Provider Information

NPI Number : 1831045939
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOLIE NICOLE BURDETTE
Provider Business Mailing Address
First Line : 4769 WHITESBURG DR SE STE 202
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-1684
Country : US
Telephone Number : 256-666-0477
Fax Number : 256-666-0465
Provider Business Practice Location Address
First Line : 4769 WHITESBURG DR SE STE 202
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35802-1684
Country : US
Telephone Number : 256-666-0477
Fax Number : 256-666-0465
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ JOLIE NICOLE BURDETTE ” Practice Location

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