MR. JEREMY MICHAEL BURSLEY FNP-C NPI 1396484374

NPI Information

NPI: 1396484374
Provider Name: MR. JEREMY MICHAEL BURSLEY, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3600 KOLBE RD STE 11
LORAIN, OH
ZIP 44053
Phone: (440) 222-4003
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MR. Jeremy Michael Bursley, FNP-C is a family nurse practitioner in Lorain, OH with 2 years of experience. MR. Jeremy Michael Bursley, FNP-C NPI is 1396484374. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3600 KOLBE RD STE 11
LORAIN, OH
ZIP 44053-652
Phone: (440) 222-4003

The NPI 1396484374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2022 and was last updated on 10/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC1500X	Nurse Practitioner	Community Health	F04220271	OHIO	No
2	363LF0000X	Nurse Practitioner	Family	APRN.CNP.0031266	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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