Individual provider · Type 1 NPI
Jennifer Burgess, MSN, FNP-C, PMHNP-C
Psychiatric/Mental Health Nurse Practitioner · Goodyear, AZ
NPI number
1194104240
Active
Practice location
700 N Estrella Pkwy Ste 220
Goodyear, AZ 85338-9330
Fax (480) 867-5701
Mailing address
12721 S 176th Ln
Goodyear, AZ 85338-5779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP7814 (AZ) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP7814 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1194104240
Jennifer Burgess, MSN, FNP-C, PMHNP-C's National Provider Identifier is 1194104240, issued on May 22, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Goodyear, AZ. The record was last updated on Oct 15, 2026.