Jacquelyn Burness, RN
Individual provider Active NPI Registered Nurse · Greenbrae, CA
NPI 1275905499 · NPPES record last updated Oct 27, 2015
Key facts
- NPI
- 1275905499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 846086 (CA)
- Practice address
- 250 Bon Air Rd
Greenbrae, CA 94904-1702 - Phone
- (415) 473-6829
- NPI assigned
- Oct 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 846086 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 846086 | CA | Yes |
Addresses
Primary practice location
250 Bon Air Rd
Greenbrae, CA 94904-1702
Mailing address
2 Twin Creeks CT
Novato, CA 94947-3205
Phone (415) 493-6204
Other providers in Greenbrae, CA
- Sally Buehler
- Lamson Bui
- Nicole Elizabeth Bullock
- Deirdre Grace Burke
- Mary G Burke
- Amber Lenore Byassee
- Robert H. Byers
- California Advanced Imaging Medical Assoc., Inc.
- California Cancer Care, Inc.
- California Pacific Orthopaedics & Sports Medicine
All providers in Greenbrae, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.