Individual
MR. JEREMY MICHAEL BURSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3600 KOLBE RD STE 11, LORAIN, OH 44053-1652
(440) 222-4003
Mailing address
3600 KOLBE RD STE 11, LORAIN, OH 44053-1652
(440) 222-4003
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
F04220271
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0031266
OH
Other
Enumeration date
05/31/2022
Last updated
10/24/2022
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