Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanae'ja Burroughs

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760105613

Tanae'ja Burroughs is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

5207 Normandy Blvd
Jacksonville, FL 32205-4827
Phone: (904) 786-4639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1760105613
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 24, 2022
Mailing address5207 Normandy Blvd, Jacksonville, FL 32205-4827

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