Individual provider · Type 1 NPI

Daisha Burgess, APRN

Gerontology Nurse Practitioner · Lakeland, FL

NPI number 1124742168 Active

Practice location

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3065

Fax (866) 264-8519

Mailing address

3141 Winchester Estates Loop
Lakeland, FL 33810-4367

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XNP11022343 (FL)
Gerontology Nurse Practitioner Primary 363LG0600XAPRN11022343 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1124742168

Daisha Burgess, APRN's National Provider Identifier is 1124742168, issued on Oct 3, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lakeland, FL. The record was last updated on Mar 19, 2025.