Individual
MS. JENNIFER LYNN GERVASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5000
Mailing address
5102 CHERRY STREET EXT, ERIE, PA 16509-2301
(814) 449-6955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN597807
PA
363LF0000X
Family Nurse Practitioner
Primary
SP020025
PA
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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