MS. JENNIFER LYNN GERVASE (NPI# 1811522881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811522881 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER LYNN GERVASE |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
232 W 25th St Erie PA 16544-0002 |
| Mailing Address |
5102 Cherry Street Ext Erie PA 16509-2301 |
| Practice Telephone | 8144525000 |
| Mailing Telephone | 8144496955 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN597807 | PA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP020025 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
232 W 25TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16544-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112545 | Clinical Associates In Radiology Inc | Radiology | 232 W 25th St, Erie, PA 16544-0002 | 2005-05-31 |
| 1376144105 | William Kupke | Physician Assistant | 232 W 25th St, Erie, PA 16544-0002 | 2020-11-06 |
| 1083215198 | Amber Colecchia | Nurse Practitioner | 232 W 25th St, Erie, PA 16544-0002 | 2020-11-04 |
| 1003430760 | Michelle K Xu | Family Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2020-05-28 |
| 1831711548 | Kristen Michelle Bublitz | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2020-05-15 |
| 1811519697 | Susannah Boulet | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2020-05-14 |
| 1801417332 | Sarah Catherine Bilski | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2020-05-06 |
| 1679118269 | Alexandra Marie Hartman | Physician Assistant | 232 W 25th St, Erie, PA 16544-0002 | 2019-11-07 |
| 1710522388 | Matthew James Martin | Physician Assistant | 232 W 25th St, Erie, PA 16544-0002 | 2019-11-07 |
| 1922669142 | Andrew Heslin | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568087542 | Jason Latsky | Student in an Organized Health Care Education/Training Program | 232 W 25th Street, Erie, PA 16544 | 2020-06-15 |
| 1659747483 | Chad Val Stratford | Emergency Medicine | 252 W 25th St, Erie, PA 16544 | 2015-08-17 |
| 1013563147 | Joshua M Botimer | Pharmacist | 232 W 54th St, Erie, PA 16544-0001 | 2019-08-14 |
| 1497314116 | Xinyi Ge | Family Medicine | Saint Vincent Hospital, Erie, PA 16544-0001 | 2019-06-06 |
| 1346610805 | Saint Vincent Medical Education and Research Institute Inc. | Internal Medicine | 145 West 24th Street, 302a, Erie, PA 16544-0002 | 2015-09-28 |
| 1821419813 | Saint Vincent Diabetes Resource Outpatient Nutrition Center | General Acute Care Hospital | 145 W 23rd St, Suite 302, Erie, PA 16544-0002 | 2013-12-18 |
| 1841534336 | Kelly O'connor | Physician Assistant | 232 W 25th St # 3r, Erie, PA 16544-0002 | 2012-11-21 |
| 1447279955 | Lihui Tang | Psychiatry & Neurology | 232 W 25th St # 3r, Erie, PA 16544-1601 | 2006-07-18 |
| 1053880575 | Pallavi Yonghang Limbu | Nurse Practitioner | 232 W 25th St # 3r, Erie, PA 16544-2420 | 2018-11-14 |
| 1427013986 | Khoa D Tran | Psychiatry & Neurology | 232 W 25th St # 3r, Erie, PA 16544-6929 | 2006-04-19 |
| Find all providers in zip 16544 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
| 1255957833 | Nathan Stuart Kerr | Nurse Practitioner | 5043 Peach St, Erie, PA 16509-2032 | 2020-06-19 |
| 1639701428 | Tammy Lynn Black | Nurse Practitioner | 2323 Edinboro Rd, Erie, PA 16509-3476 | 2020-02-10 |
| 1104460518 | Elena Kovalevich | Nurse Practitioner | 333 State St Ste 102, Erie, PA 16507-1466 | 2019-10-30 |
| 1699333419 | Nicole Elizabeth Zmijewski | Nurse Practitioner | 2090 Matty Dr, Erie, MI 48133-9370 | 2019-06-05 |
| 1104390368 | Liqin Zhang | Nurse Practitioner | 1163 Mircos St, Erie, CO 80516-5408 | 2019-01-21 |
| 1003390444 | Tatyana Kryachkov | Nurse Practitioner | 3250 W Lake Rd., Suite 2, Erie, PA 16505-3691 | 2018-09-21 |
| 1487134664 | Jennifer Bechard Marshall | Nurse Practitioner | 411 Pleades Pl, Erie, CO 80516-2568 | 2018-08-17 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1619414331 | Chad Burns | Nurse Practitioner | 3002 W 11th St, Erie, PA 16505-3904 | 2017-01-20 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.