JERRY BURDEN PA-S NPI 1407317837

NPI Information

Jerry Burden, PA-S is a student in an organized health care education training program in Chesapeake, VA with 5 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jerry Burden, PA-S NPI is 1407317837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

413 FOXGATE CT
CHESAPEAKE, VA
ZIP 23322-783
Phone: (757) 589-1589

The NPI 1407317837 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 3/28/2019 and was last updated on 3/28/2019.

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:

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