Jessica Nicole Burdine

NPI #1932648623 in Shawnee, Oklahoma

Provider Information

NPI Number: 1932648623
Entity Type: Individual
Name: Jessica Nicole Burdine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Feb 15, 2017
Last Updated: Sep 11, 2025

Practice Location

Address: 26 FATHER JOE MURPHY DR
City: Shawnee
State: Oklahoma
ZIP Code: 74801-8663
Phone: (405) 830-2938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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