Search › New Mexico › 171M00000X
Jakeryan Burns, NCG
NPI 1962073940 · on the registry since 2021
Practice
- Address
- 504 Dakota St Se
Albuquerque, NM 87108 - Phone
- (505) 977-3560
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 104100000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico