Individual
JULIA SUZANNE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
8402 HARCOURT RD STE 830, INDIANAPOLIS, IN 46260-2096
(317) 338-8857
Mailing address
8402 HARCOURT RD STE 830, INDIANAPOLIS, IN 46260-2096
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
28244714A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71015313A
IN
Other
Enumeration date
05/02/2024
Last updated
09/17/2024
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