Individual provider · Type 1 NPI

Jackson Beauregard Burns

Student in an Organized Health Care Education/Training Program · Rosharon, TX

NPI number 1295515518 Active

Practice location

16818 Wrangler Rd
Rosharon, TX 77583-7327

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XNone listed
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 1295515518

Jackson Beauregard Burns's National Provider Identifier is 1295515518, issued on Oct 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rosharon, TX. The record was last updated on Oct 3, 2023.