DR. JESSE ANDREW BURNAM MD NPI 1750661328

NPI Information

NPI: 1750661328
Provider Name: DR. JESSE ANDREW BURNAM, MD
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

Address:
15647 CARRIEDALE LN
FORT MYERS, FL
ZIP 33912
Phone: (239) 768-3878
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DR. Jesse Andrew Burnam, MD is a facial plastic surgery otolaryngology in Fort Myers, FL. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Jesse Andrew Burnam, MD NPI is 1750661328. 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:

15647 CARRIEDALE LN
FORT MYERS, FL
ZIP 33912-904
Phone: (239) 768-3878
Fax: (239) 768-3878

The enumeration date for this NPI number is 8/26/2011 and was last updated on 8/26/2011.

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
1	207YS0123X	Otolaryngology	Facial Plastic Surgery	13757	NORTH CAROLINA	No
2	207YS0123X	Otolaryngology	Facial Plastic Surgery	12233	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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