Provider Demographics
NPI:1659819688
Name:BURROW, JAMES JR (APRN-BC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:BURROW
Suffix:JR
Gender:M
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:974 SHACKELFORD RD
Mailing Address - Street 2:
Mailing Address - City:BATES CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64011-8044
Mailing Address - Country:US
Mailing Address - Phone:816-695-1517
Mailing Address - Fax:
Practice Address - Street 1:201 NW R D MIZE RD STE 214
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014-2513
Practice Address - Country:US
Practice Address - Phone:816-655-5780
Practice Address - Fax:816-655-5779
Is Sole Proprietor?:No
Enumeration Date:2017-02-10
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017004137363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily