Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | TRN11243 | FL |
N | 207VX0000X | Obstetrician | 65741 | GA |
NPI | 1376744904 |
---|---|
Provider Name | Erin Hale Burnett |
First Address | Jacksonville, FL 32209-6511 |
Second Address | Jacksonville, FL 32209-6511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 30/07/2014 |