MYRNA GACUSAN
Nurse Practitioner - Family
Active
Individual
NPI: 1174976088
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 151283 (GA) |
Frequently Asked Questions
NPI 1174976088 is the National Provider Identifier for MYRNA GACUSAN, a Nurse Practitioner - Family provider located in Jonesboro, GA. This NPI was enumerated on July 14, 2016.
MYRNA GACUSAN practices at 6911 TARA BLVD, Jonesboro, GA 30236.
Quick Facts
- NPI
- 1174976088
- Type
- Individual
- Enumerated
- Jul 14, 2016
- Last Updated
- Jul 14, 2016
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