Lakesha Wilson Burnell, Nurse Practitioner
Nurse Practitioner, Family in Warner Robins, GA. Individual provider (NPI-1).
NPI number1023580198
StatusActive
Last updated in NPPESSep 6, 2019
Details
- NPI
- 1023580198
- Entity type
- Individual (NPI-1)
- Name
- Lakesha Wilson Burnell
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2018
- Last updated
- Sep 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | Rn148146 | GA | Yes |
| 207Q00000X | Family Medicine | RN148146 | GA |
Other names
- Lakesha Wilson Burnell (Professional Name)
Practice location
655 7th St Bldg 700700aWarner Robins, GA 31098-2227
Phone 478-497-1993
Mailing address
203 Loudon Hill DrWarner Robins, GA 31088-8531
Phone 478-550-5789
Other practice locations
203 Loudon Hill Dr
Warner Robins, GA 31088-8531
Warner Robins, GA 31088-8531
Phone 478-550-5789
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