MEDICARE: CHELSEY BURNETTE MSN, APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	0024181330	VA
2	363LF0000X	Family Nurse Practitioner	0024181330	VA

General Provider Information

NPI Number	:	1801569041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEY BURNETTE MSN, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	2000 HEALTH PARK DR FL HP2
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4692
Country	:	US
Telephone Number	:	615-373-7600
Fax Number	:

Provider Business Practice Location Address
First Line	:	6136 PETERS CREEK RD
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24019-4028
Country	:	US
Telephone Number	:	540-283-3660
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2021
Last Update Date	:	02/03/2025

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