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ROSEANNE BURKE WHNP NPI 1255778593


NPI Information

NPI: 1255778593
Provider Name: ROSEANNE BURKE, WHNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Organization: JODY L KELLY MD AND ASSOCIATES, LLC

PECOS Registration: Yes

Address:
1319 N VETERANS PKWY
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 827-4014
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Roseanne Burke, WHNP is a women's health nurse practitioner in Bloomington, IL with 4 years of experience. Roseanne Burke, WHNP NPI is 1255778593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1319 N VETERANS PKWY
BLOOMINGTON, IL
ZIP 61704-426
Phone: (309) 827-4014
Fax: (309) 828-6626

The NPI 1255778593 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/28/2013 and was last updated on 5/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LW0102XNurse PractitionerWomen's Health209010389ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.