VALENCIA BURLESON (NPI# 1568973790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568973790 |
| Entity Type | Individual |
| Full Name | VALENCIA BURLESON |
| Credential | FNP |
| Practice Address |
636 2nd Ave Rochelle GA 31079-2046 |
| Practice Telephone | 2293652570 |
| Practice Fax Number | 2293652571 |
| Mailing Telephone | 2293652570 |
| Mailing Fax Number | 2293652571 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN219847 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
636 2ND AVE |
| City | ROCHELLE |
| State | GA |
| Zip Code | 31079-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306194576 | Karen Lynn Lewis | Nurse Practitioner | 636 2nd Ave, Rochelle, GA 31079-2046 | 2012-08-20 |
| 1487139739 | Charles Andrew Mcelveen | Nurse Practitioner | 636 2nd Ave, Rochelle, GA 31079-2046 | 2018-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902013048 | Crisp Regional Hospital, Inc. | Clinic/Center | 636 Second Avenue, Sw, Rochelle, GA 31079 | 2007-05-17 |
| 1952446213 | Rochelle Drug Company | Pharmacy | 600 Second Ave., Rochelle, GA 31079 | 2007-02-21 |
| 1700921608 | Michael D Miller | Pharmacist | 600 Second Ave, Rochelle, GA 31079 | 2007-02-20 |
| 1659435303 | Wilcox County Ems | Ambulance | 410 Stephens Street, Wilcox County E.m.s., Rochelle, GA 31079 | 2006-12-20 |
| 1548338932 | Wilcox County Health Department | Public Health or Welfare | 1001 Second Street, Rochelle, GA 31079 | 2006-12-01 |
| 1467483081 | James Hank Cook | Dentist | 615 Second Avenue, Rochelle, GA 31079 | 2006-07-05 |
| 1437303567 | Rochelle Dental | Dentist | 615 Second Avenue, Rochelle, GA 31079 | 2008-11-17 |
| 1356376768 | Leah M Cook | Dentist | 615 Second Avenue, Rochelle, GA 31079 | 2006-07-12 |
| 1750630588 | Taylor Regional Hospital | Podiatrist | 792 1st Ave, Rochelle, GA 31079-2018 | 2012-09-07 |
| 1275036568 | Taylor Regional Hospital | Pediatrics | 792 1st Ave, Rochelle, GA 31079-2018 | 2018-03-13 |
| Find all providers in zip 31079 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752284 | Mahubah Abdallah | Nurse Practitioner | 326 Lake Lida Ln, Rochelle, IL 61068-8801 | 2019-04-04 |
| 1487139739 | Charles Andrew Mcelveen | Nurse Practitioner | 636 2nd Ave, Rochelle, GA 31079-2046 | 2018-10-02 |
| 1225553803 | Kelly Ann Tonielli Davis | Nurse Practitioner | 1212 Currency Ct, Rochelle, IL 61068 | 2017-08-04 |
| 1164843199 | Sara Noel Lyons | Nurse Practitioner | 900 N 2nd St, Rochelle, IL 61068-1764 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285486 | Aprn Mobile Clinic LLC | Nurse Practitioner | 1361 Highwoods Pass, Grovetown, GA 30813-3994 | 2020-11-08 |
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VALENCIA BURLESON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.