Organization
STACIE BURLESON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH LAIL (MEDICAL STAFF ANALYST)
(828) 326-3388
Entity
Organization
Contact information
Practice address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 326-3388
Mailing address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/07/2021
Last updated
08/17/2021
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