Provider Demographics
NPI:1780785626
Name:BURLEY, JOLENE MARIE (RRT)
Entity type:Individual
Prefix:MRS
First Name:JOLENE
Middle Name:MARIE
Last Name:BURLEY
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:MS
Other - First Name:JOLENE
Other - Middle Name:MARIE
Other - Last Name:BORRELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:25740S.W 19TH AVE.
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-5026
Mailing Address - Country:US
Mailing Address - Phone:352-472-7027
Mailing Address - Fax:
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:352-376-1611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered