MRS. STACI LYNN BURLEYSON FNP-C NPI 1487159943

NPI Information

NPI: 1487159943
Provider Name: MRS. STACI LYNN BURLEYSON, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

PECOS Registration: Yes

Address:
1275 HAWTHORN RD
SALEM, IL
ZIP 62881
Phone: (618) 548-4545
Get Directions

MRS. Staci Lynn Burleyson, FNP-C is a family nurse practitioner in Salem, IL with 6 years of experience. MRS. Staci Lynn Burleyson, FNP-C NPI is 1487159943. 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:

1275 HAWTHORN RD
SALEM, IL
ZIP 62881-028
Phone: (618) 548-4545
Fax: (618) 548-4577

The NPI 1487159943 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 3/27/2018 and was last updated on 1/4/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		F03180485	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209017646	ILLINOIS	Yes

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

NPI Synchronization or Removal

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