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
Fax: (864) 560-7520
Website:

Health care specialties

SpecialtyCodeLicense #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 3 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 1558886739 NPPES
South Carolina MEDICAID NP4732
South Carolina Other SCB4777652

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