Organization
JERRINA GUSLER APRN PLLC
Active
Other names
Renewed Mood
Organization subpart
No
Provider details
NPI number
Authorized official
JERRINA GUSLER APRN (MANAGER)
(502) 565-5660
Entity
Organization
Contact information
Practice address
107 N MANTLE AVE, ELIZABETHTOWN, KY 42701-2453
(502) 565-5660
Mailing address
107 N MANTLE AVE, ELIZABETHTOWN, KY 42701-2453
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100345720
—
KY
Enumeration date
03/02/2023
Last updated
03/02/2023
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