Burleyson, Staci Lynn

Burleyson, Staci Lynn is an sole proprietor health care provider with primary practice located at 1275 Hawthorn Rd , Salem IL 62881-1028. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Burleyson, Staci Lynn can be contacted via phone (618) 548-4545.

Contact Information

Primary practice address
1275 Hawthorn Rd Salem IL 62881-1028
Phone: (618) 548-4545
Fax: (618) 548-4577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F03180485 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209017646 Illinois

Profile Details

NPI number 1487159943
LBN Legal business name Burleyson, Staci Lynn
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2018
Last updated Jan 4th, 2022 - about 2 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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