Individual
JONATHAN SCOTT MERSEREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4045069
KY
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0029281
OH
Other
Enumeration date
03/26/2021
Last updated
02/24/2026
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