Betty Burgess, LVN Valid NPI
Individual provider · Licensed Practical Nurse · Lake Jackson, TX
- NPI
- 1871940346
- Type
- Individual (Type 1)
- Primary specialty
- Licensed Practical Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 164W00000X
- License number
- 180236 (TX)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2016-05-15
- Last updated
- 2020-09-07
Practice location
107 Mimosa St
Lake Jackson, TX 77566-5645
(979) 665-2792