Burgess, Laura Jeanne
Burgess, Laura Jeanne is an individual health care provider with primary practice located at 1715 Berglund Ln Ste B , Viera FL 32940-6230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burgess, Laura Jeanne can be contacted via phone (321) 610-8955.Contact Information
Primary practice address
1715 Berglund Ln Ste B
Viera FL 32940-6230
Phone: (321) 610-8955
Fax: (321) 610-8954
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3414042 | Florida |
Profile Details
NPI number | 1831573096 |
---|---|
LBN Legal business name | Burgess, Laura Jeanne |
Credentials | MSN, FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2015 |
Last updated | Apr 23rd, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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