Individual provider · Type 1 NPI
Shinelle Burgess
Gerontology Nurse Practitioner · Bay Shore, NY
NPI number
1730787631
Active
Practice location
287 N 3rd Ave
Bay Shore, NY 11706-4109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | F311640-01 (NY) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1730787631
Shinelle Burgess's National Provider Identifier is 1730787631, issued on Oct 13, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bay Shore, NY. The record was last updated on May 22, 2026.