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Contact Information

JENNIFER S BURGETT, PHD, LAT, ATC
1701 PELHAM RD S
JACKSONVILLE, AL36265-3353
 Phone: 256-782-5423
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for JENNIFER S BURGETT · (Female)

NPI # 1871900605
Status Active
Credentials PHD, LAT, ATC
Entity Individual
Enumeration date 07/14/2014
Last updated 09/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # 2399
  • GA License # AT002260
  • TN License # 2516
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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