Individual
GISSELLA CAROLINA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
966 BARTLEY ST, JASPER, IN 47546-2641
(812) 996-7810
Mailing address
680 E STATE ROAD 164, JASPER, IN 47546-8471
(812) 309-9357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28175785A
IN
363L00000X
Nurse Practitioner
Primary
71009634A
IN
Other
Enumeration date
12/10/2019
Last updated
04/12/2026
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