Jerome Burris Valid NPI

Individual provider · Registered Nurse · Gilbert, AZ

NPI

1639005291

Type

Individual (Type 1)

Primary specialty

Registered Nurse

Specialty group

Nursing Service Providers

Taxonomy code

163W00000X

License number

292310 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2026-06-22

Last updated

2026-06-22