Gerisource

LBN: Gerisource
Gerisource is an health care organization with primary practice located at 11812 Crusselle Dr , Jacksonville FL 32223-0876. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as the primary health care specialty. Gerisource can be contacted via phone (904) 252-5265, or through Clayman, Andrea H via phone (904) 252-5265.

Contact Information

Primary practice address
11812 Crusselle Dr Jacksonville FL 32223-0876
Phone: (904) 252-5265
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clayman, Andrea H ARNP
Phone: (904) 252-5265

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 9260038 Florida

Profile Details

NPI number 1871894972
LBN Legal business name Gerisource
DBA Doing business as
Authorized official Clayman, Andrea H ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2010
Last updated Nov 6th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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