Provider Demographics
NPI:1902096597
Name:BURKHART, JAIME LYNN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:JAIME
Middle Name:LYNN
Last Name:BURKHART
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 LINCOLN AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:PA
Mailing Address - Zip Code:15202-3859
Mailing Address - Country:US
Mailing Address - Phone:412-732-9032
Mailing Address - Fax:
Practice Address - Street 1:254 LINCOLN AVE APT 2
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:PA
Practice Address - Zip Code:15202-3859
Practice Address - Country:US
Practice Address - Phone:412-732-9032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009346363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care