Provider Demographics
NPI:1336897578
Name:BURNETT, HELEN KATHERINE (RN)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:KATHERINE
Last Name:BURNETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 N LONGVIEW ST
Mailing Address - Street 2:
Mailing Address - City:KILGORE
Mailing Address - State:TX
Mailing Address - Zip Code:75662-6827
Mailing Address - Country:US
Mailing Address - Phone:903-988-6862
Mailing Address - Fax:903-988-6945
Practice Address - Street 1:1909 N LONGVIEW ST
Practice Address - Street 2:
Practice Address - City:KILGORE
Practice Address - State:TX
Practice Address - Zip Code:75662-6827
Practice Address - Country:US
Practice Address - Phone:903-988-6862
Practice Address - Fax:903-988-6945
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX501332163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse