Individual provider · Type 1 NPI

Staci Lynn Burleyson, FNP-C

Family Nurse Practitioner · Salem, IL

NPI number 1487159943 Active

Practice location

1275 Hawthorn Rd
Salem, IL 62881-1028

Fax (618) 548-4577

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XF03180485 (IL)
Family Nurse Practitioner Primary 363LF0000X209017646 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1487159943

Staci Lynn Burleyson, FNP-C's National Provider Identifier is 1487159943, issued on Mar 27, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salem, IL. The record was last updated on Jan 4, 2022.