Provider Demographics
NPI:1194578153
Name:BURNS, JAMI LOUISE
Entity type:Individual
Prefix:
First Name:JAMI
Middle Name:LOUISE
Last Name:BURNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38370 TAMARAC BLVD APT 202
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-8129
Mailing Address - Country:US
Mailing Address - Phone:440-530-5961
Mailing Address - Fax:
Practice Address - Street 1:38370 TAMARAC BLVD APT 202
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-8129
Practice Address - Country:US
Practice Address - Phone:440-530-5961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker