Jacquelyn Burt
Family Doctor
24530 Falcon Place Blvd Suite 100
Abingdon
, Virginia 24211-7665
Jacquelyn Burt
Family Doctor
24530 Falcon Place Blvd Suite 100
Abingdon
, Virginia 24211-7665
(423) 408-7405
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Jacquelyn Burt
- 105 W Stone Dr Suite 6a
- Kingsport, TN
- Zip : 37660-3365
- Fax : (423) 408-7405
- Phone : (423) 400-8722
Second Address
- Jacquelyn Burt
- 24530 Falcon Place Blvd Suite 100
- Abingdon, VA
- Zip : 24211-7665
- Fax : (276) 619-0077
- Phone : (276) 619-0075
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 0101257167 | VA |
| Y | 207Q00000X | Family Doctor | 27664 | TN |
National Provider Identifier
| NPI | 1003238940 |
|---|---|
| Provider Name | Jacquelyn Burt |
| First Address | Kingsport, TN 37660-3365 |
| Second Address | Abingdon, VA 24211-7665 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2014 |
| Last Update Date | 26/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.