Ms. Jackie Burgess
Obstetrician
20230 Estero Gardens Cir Unit 206
Estero
, Florida 33928-3457
Ms. Jackie Burgess
Obstetrician
20230 Estero Gardens Cir Unit 206
Estero
, Florida 33928-3457
(239) 302-1352
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Ms. Jackie Burgess
- 20230 Estero Gardens Cir Unit 206
- Estero, FL
- Zip : 33928-3457
- Fax : (239) 302-1352
- Phone : (239) 699-8718
Second Address
- Ms. Jackie Burgess
- 20230 Estero Gardens Cir Unit 206
- Estero, FL
- Zip : 33928-3457
- Fax : (239) 302-1352
- Phone : (239) 699-8718
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | MW304 | FL |
National Provider Identifier
| NPI | 1326415951 |
|---|---|
| Provider Name | Ms. Jackie Burgess |
| First Address | Estero, FL 33928-3457 |
| Second Address | Estero, FL 33928-3457 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2015 |
| Last Update Date | 31/08/2015 |
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.