Gumerson, Jerelyn J.

Gumerson, Jerelyn J. is an individual health care provider with primary practice located at 3834 S Emerson Ave Building C, Suite 100, Indianapolis IN 46203. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gumerson, Jerelyn J. can be contacted via phone (317) 782-1577.

Contact Information

Primary practice address
3834 S Emerson Ave Building C, Suite 100 Indianapolis IN 46203
Phone: (317) 782-1577
Fax: (317) 780-5539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 71000562A Indiana
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 71000562A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000562A Indiana

Profile Details

NPI number 1912970625
LBN Legal business name Gumerson, Jerelyn J.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2006
Last updated Aug 2nd, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912970625 NPPES
Indiana Other P01424889 MEDICARE RAILROAD PIN
Indiana MEDICAID 200215810 MEDICARE RAILROAD PIN

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