Most Relevant Information
Provider Data
| NPI Number: | 1003268152 |
| Provider Name: | JESSICA LYN BURICH PMHNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 2022043250 |
Most Important Dates
| Enumeration Date: | 07/12/2016 |
| Last Updated: | 11/01/2022 |
Provider Practice Location
2025 S BRENTWOOD BLVD STE 209
BRENTWOOD
MO
631441851
Practice Location Phone/Fax
| Phone: | 6369495760 |
| Fax: | 8664409231 |
Provider Mailing Location
2025 S BRENTWOOD BLVD STE 209
BRENTWOOD
MO
631441851
Provider Mailing Phone/Fax
| Phone: | 6369495760 |
| Fax: | 8664409231 |