MRS. Jodi Ann Burgess, PA

NPI #1508275678 in Humboldt, Tennessee

Provider Information

NPI Number: 1508275678
Entity Type: Individual
Name: MRS. Jodi Ann Burgess, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 3, 2014
Last Updated: Oct 10, 2017

Practice Location

Address: 701 MEDICAL PARK DR
City: Humboldt
State: Tennessee
ZIP Code: 38343-3034
Phone: (731) 784-4300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Physician Assistant	363A00000X	Primary

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