Individual
MARINA D. BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 446-5711
Mailing address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5910
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
121360
WV
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0040500
OH
Other
Enumeration date
10/01/2025
Last updated
10/22/2025
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