Provider Type Icon

DR. JACQUELYN MARIE BURNETT M.D. NPI 1205120086


NPI Information

NPI: 1205120086
Provider Name: DR. JACQUELYN MARIE BURNETT, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
200 DOCTORS DR STE B
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 634-3555
Get Directions

DR. Jacquelyn Marie Burnett, M.D. is a pediatrics in Jacksonville, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Jacquelyn Marie Burnett, M.D. NPI is 1205120086. 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:

200 DOCTORS DR STE B
JACKSONVILLE, NC
ZIP 28546-308
Phone: (910) 634-3555
Fax: (910) 442-8826

The NPI 1205120086 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2011 and was last updated on 2/12/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics4301104440MICHIGANNo
22080N0001XPediatricsNeonatal-Perinatal Medicine2019-02466NORTH CAROLINANo
3208000000XPediatrics2019-02466NORTH CAROLINAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.