| Doctor Name: | YVONNE M BURGESS |
| NPI Number: | 1013229822 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NC04275400 |
| Business Practice Address: | 629 E Wood St Suite 106-108 Vineland, NJ - 083603730 |
| Business Phone Number: | 8566925600 |
| Business Fax Number: | 8566925601 |
| Mailing Address: | 629 E Wood St, Ste 108 VINELAND |
| State: | NJ |
| Postal Code: | 083603752 |
| Phone Number: | 8566925600 |
| Fax Number: | 8566925601 |
| NPI Enumeration Date: | 07/09/2010 |
| NPI Last Update Date: | 04/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | 26NC04275400 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |