Provider Demographics
NPI:1376914374
Name:BURTON, JAMIE (RSW)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:BURTON
Suffix:
Gender:F
Credentials:RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5226 GREENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814-6005
Mailing Address - Country:US
Mailing Address - Phone:337-354-9814
Mailing Address - Fax:
Practice Address - Street 1:1945 CAROLYN SUE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-5509
Practice Address - Country:US
Practice Address - Phone:225-928-9398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-15
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator