Lyza Julliet Burgess in Jacksonville - Family
Lyza Julliet Burgess - NPI 1316122906
Lyza Julliet Burgess is a Family in Jacksonville, Florida. Lyza Julliet Burgess practices all healthcare services and medical treatments related to Family. The NPI Number for Lyza Julliet Burgess is 1316122906. The last update date is 2023-04-11.
Lyza Julliet Burgess's current location address is 4266 Sunbeam Rd, Jacksonville, Florida. You can contact this provider via phone number 9044075012 and fax number 9044078124. The mailing address for Lyza Julliet Burgess is 4266 Sunbeam Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lyza Julliet Burgess |
|---|---|
| Address | 4266 Sunbeam Rd, Jacksonville, Florida |
| Phone Number | 9044075012 |
| Fax Number | 9044078124 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1316122906 |
|---|---|
| Provider Enumeration Date | 2008-01-02 |
| Last Updated Date | 2023-04-11 |
Provider Mailing Address Detail
| Address | 4266 Sunbeam Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322572425 |
| Phone Number | 9044075012 |
| Fax Number | 9044078124 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN9192316 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 308979700 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lyza Julliet Burgess?
The Lyza Julliet Burgess has been issued the NPI (National Provider Identifier) 1316122906 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Lyza Julliet Burgess's facilities are geographically located?
The facilities of Lyza Julliet Burgess are physically situated at the following location: 4266 Sunbeam Rd, Jacksonville, FL, 322572425.
What is Lyza Julliet Burgess's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lyza Julliet Burgess is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316122906 to Lyza Julliet Burgess?
The Centers for Medicare & Medicaid Services originally issued the 1316122906 to Lyza Julliet Burgess on 2008-01-02.
When was the information pertaining to Lyza Julliet Burgess most recently updated or revised?
The details related to Lyza Julliet Burgess, including its address, specialty, and other relevant information, were last updated or revised on 2023-04-11.
NPI Number: 1104826072
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