Search › Illinois › 363LF0000X
Staci Burleyson, FNP-C
NPI 1487159943 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1275 Hawthorn Rd
Salem, IL 62881 - Phone
- (618) 548-4545
- Fax
- (618) 548-4577
- Organisation at this address
- Southern Illinois Healthcare Foundation, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois