Individual provider · Type 1 NPI

Tanae'ja Burroughs

Student in an Organized Health Care Education/Training Program · Jacksonville, FL

NPI number 1760105613 Active

Practice location

5207 Normandy Blvd
Jacksonville, FL 32205-4827

Call (904) 786-4639 Map

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 1760105613

Tanae'ja Burroughs's National Provider Identifier is 1760105613, issued on Sep 26, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 26, 2022.