| Jerrina Gusler Aprn Pllc | |
|
107 N Mantle Ave Elizabethtown KY 42701-2453 | |
| (502) 565-5660 | |
| Not Available |
| Full Name | Jerrina Gusler Aprn Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 N Mantle Ave, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Jerrina Gusler (MANAGER) |
| Authorized Official Contact | 5025655660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerrina Gusler Aprn Pllc 107 N Mantle Ave Elizabethtown KY 42701-2453 Ph: () - | Jerrina Gusler Aprn Pllc 107 N Mantle Ave Elizabethtown KY 42701-2453 Ph: (502) 565-5660 |
| NPI Number | 1740989326 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Medicare PECOS PAC ID | 3072972819 |
|---|---|
| Medicare Enrollment ID | O20230711002742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740989326 | NPI | - | NPPES |
| 7100345720 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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