Gerstenacker, Devonne Jean
Gerstenacker, Devonne Jean is an individual health care provider with primary practice located at 391 Serpentine Dr Ste 400 , Spartanburg SC 29303-3081. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gerstenacker, Devonne Jean can be contacted via phone (864) 560-7517.Contact Information
Primary practice address
391 Serpentine Dr Ste 400
Spartanburg SC 29303-3081
Phone: (864) 560-7517
Fax: (864) 560-7520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 94977 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 21296 | South Carolina |
Profile Details
| NPI number | 1558886739 |
|---|---|
| LBN Legal business name | Gerstenacker, Devonne Jean |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2017 |
| Last updated | Jan 7th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558886739 | NPPES |
| South Carolina | MEDICAID | NP4732 | |
| South Carolina | Other | SCB4777652 |
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