Individual
MARY JANE GERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
631 COX RD, GASTONIA, NC 28054-3438
(704) 864-7764
(704) 867-7894
Mailing address
9735 KINCEY AVE, SUITE 201, HUNTERSVILLE, NC 28078-9118
(704) 414-2870
(704) 414-2860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201507
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74256
STATE LICENSE
NC
Enumeration date
02/21/2007
Last updated
05/26/2021
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