Provider Demographics
NPI:1679069959
Name:BURNS, JAIME SUELYN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:SUELYN
Last Name:BURNS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7406 ABINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-2626
Mailing Address - Country:US
Mailing Address - Phone:727-534-1752
Mailing Address - Fax:
Practice Address - Street 1:1011 US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34691-5636
Practice Address - Country:US
Practice Address - Phone:727-937-4600
Practice Address - Fax:727-937-3312
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9341178363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7357545OtherCIGNA
FLIFT2HOtherFLORIDA BLUE
FL6170689OtherAETNA
FL101146700Medicaid