JACQUELINE CHRISTINE BURGETT


Address: 4463 W Mandy Lee Cv, Riverton, UT 84096-7775
Phone: 3853138301

JACQUELINE CHRISTINE BURGETT (NPI# 1972013548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972013548
Entity Type Individual
Full Name JACQUELINE CHRISTINE BURGETT
Credential RN/IBCLC
Practice Address 4463 W Mandy Lee Cv
Riverton
UT 84096-7775
Practice Telephone 3853138301
Mailing Telephone 3853138301
Enumeration Date 2017-10-09
Last Update Date 2017-10-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WL0100X Registered Nurse
Specialization: Lactation Consultant
501107-3102 UT Nursing Service Providers

Office Location

Street Address 4463 W MANDY LEE CV
City RIVERTON
State UT
Zip Code 84096-7775

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1649687948 Victor Clark Assisted Living Facility 6352 W 13100 S, Herriman, UT 84096 2014-07-18
1548539554 Neck and Back Relief Chiropractor 12600 S. 4013 W., Suite E, Riverton, UT 84096 2011-12-20
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1518156991 Jon Christian Fairbanks Dentist 5532 W. Herriman Main Street, #210, Herriman, UT 84096 2007-10-22
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1619022969 Jeffrey T Lambert Dentist 5532 W. Herriman Main St., #210, Herriman, UT 84096 2007-01-25
1578638854 Stevenson Pediatric Dentistry P.C. Dentist 4019 W. 12600 S., Suite 200, Riverton, UT 84096 2006-11-21
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Taxonomy Information

Taxonomy Code 163WL0100X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Lactation Consultant

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1851907208 Jamie Gettys Registered Nurse 339 N 400 E Apt 4, Provo, UT 84606-3040 2020-09-21
1861040461 Sarah-ashley Law Registered Nurse 4992 W Roaring Rd, South Jordan, UT 84009-6060 2019-08-28
1831662253 Michele Leigh Carnesecca Registered Nurse 714 N 700 West Cir, American Fork, UT 84003-5228 2019-01-08
1619459104 Jaime W Jones Registered Nurse 412 North 4950 West, West Point, UT 84015 2018-08-31
1417453374 Holly N Hill Registered Nurse 21 S 400 E, Kaysville, UT 84037-2057 2018-03-31
1164931390 Annalisa Ball Burch Registered Nurse 764 W 180 S, Spanish Fork, UT 84660-4628 2017-09-20
1093237513 Anne Marie Tullis Registered Nurse 1541 Tuscany Cv, Farmington, UT 84025-2049 2017-07-17
1689116634 Jan Sumsion Registered Nurse 3298 N Cottonwood Ln, Provo, UT 84604-4498 2016-11-08
1558725465 Katie Lynn Christensen Registered Nurse 671 Escalante Dr, St George, UT 84790-7605 2016-04-06
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Competitor

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City RIVERTON
Zip Code 84096

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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