Provider Demographics
NPI:1083385983
Name:BURKE, ERIKA (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:BURKE
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 OLD REYNOLDS ST
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31501-1036
Mailing Address - Country:US
Mailing Address - Phone:912-283-1359
Mailing Address - Fax:912-283-1360
Practice Address - Street 1:1720 OLD REYNOLDS ST
Practice Address - Street 2:
Practice Address - City:WAYCROSS
Practice Address - State:GA
Practice Address - Zip Code:31501-1036
Practice Address - Country:US
Practice Address - Phone:912-283-1359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN252845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily