Individual
ALYSSIA BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1090 OLD FLORENCE RD, LAWRENCEBURG, TN 38464-8401
(931) 762-6505
Mailing address
1090 OLD FLORENCE RD, LAWRENCEBURG, TN 38464-8401
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26575
TN
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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