Search › Alabama › 363LW0102X
Jaymi Burgess
NPI 1710520010 · on the registry since 2019 · sole proprietor
Practice
- Address
- 100 Samuel O Moseley Dr
Selma, AL 36701 - Phone
- (334) 874-2550
- Organisation at this address
- Dallas County Health Dept Mat
Dallas County Health Dept Aids
Dallas County Health Dept Fp Cm
Dallas County Health Dept Child
Dallas County Health Dept EpsdtInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Also registered as
- 163W00000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-01-05
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 Alabama