Individual
JESSICA GUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2426
MN
363LA2200X
Adult Health Nurse Practitioner
2426
MN
363LG0600X
Gerontology Nurse Practitioner
209528-8
MN
363LG0600X
Gerontology Nurse Practitioner
4932-33
WI
Other
Enumeration date
09/06/2012
Last updated
12/06/2023
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