Individual provider · Type 1 NPI

Juvell Nicole Burris

Student in an Organized Health Care Education/Training Program · Jackson, MS

NPI number 1083236210 Active

Practice location

802 Lakeland Dr Apt 104
Jackson, MS 39216-4613

Call (787) 307-5986 Map

Other practice locations

  • 917 Calle Arboleda, Ponce, PR 00716-3507 · (787) 307-5986
  • 917 Calle Arboleda, Ponce, PR 00716-3507 · (787) 307-5986

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1083236210

Juvell Nicole Burris's National Provider Identifier is 1083236210, issued on May 11, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jackson, MS. The record was last updated on May 11, 2020.