IndividualActive
Betty Burgess, LVN
NPI 1871940346 · Licensed Practical Nurse · Lake Jackson, TX
Provider details
- NPI number
- 1871940346
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 180236 (TX)
Specialties & taxonomies
Nursing Service Providers
Practice location
107 Mimosa St
Lake Jackson, TX 77566-5645
Phone: (979) 665-2792
Approximate (ZIP-level) locationGet directions
Mailing address
107 Mimosa St
Lake Jackson, TX 77566-5645
Registry dates
- Enumerated
- 2016-05-15
- Last updated
- 2020-09-07
- Certified
- 2020-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.