JACQUELINE BURNS NP NPI 1093892507

NPI Information

  • NPI: 1093892507
  • Provider Name: JACQUELINE BURNS, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3111 ROUTE 38 STE 11
    PMB 120
    MOUNT LAUREL, NJ
    ZIP 08054
  • Phone: (609) 261-5755

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NPI Details

Jacqueline Burns, NP is an adult health nurse practitioner in Mount Laurel, NJ with 28 years of experience. Jacqueline Burns, NP NPI is 1093892507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3111 ROUTE 38 STE 11
PMB 120
MOUNT LAUREL, NJ
ZIP 08054-762
Phone: (609) 261-5755
Fax: (609) 261-7199

The NPI 1093892507 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health26NN08660000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P30594MEDICARE UPIN
22240115000OTHERAMERIHEALTH/KEYSTONE/PC
3047499MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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