Donnetta Burgess, APRN, CNP
Nurse Practitioner in Urbana, IL. Individual provider (NPI-1).
NPI number1730786161
StatusActive
Last updated in NPPESApr 18, 2024
Details
- NPI
- 1730786161
- Entity type
- Individual (NPI-1)
- Name
- Donnetta Burgess
- Credential
- APRN, CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2020
- Certification date
- Apr 18, 2024
- Last updated
- Apr 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209021365 | IL | Yes |
Practice location
509 W University AveUrbana, IL 61801-1645
Phone 217-383-6636
Mailing address
611 W Park StFapc
Urbana, IL 61801
Other practice locations
721 E Court St
Paris, IL 61944-2460
Paris, IL 61944-2460
Phone 217-465-4141
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