person
Myrna Gacusan
Family Nurse Practitioner in Jonesboro, Georgia
NPI 1174976088

Myrna Gacusan is a Family Nurse Practitioner based in Duluth, GA and is specialized in Family. Myrna Gacusan practices in Jonesboro, GA. The NPI Number for Myrna Gacusan is 1174976088 and holds a License No. 151283 (Georgia).

The current practice location address for Myrna Gacusan is 6911 Tara Blvd, Jonesboro, GA and can be reached out via phone at 770-477-8573 and via fax at 770-477-8573.

Location: 6911 Tara Blvd, Jonesboro, GA, 30097-2199
person
Provider Profile Details
NPI Number
1174976088
Provider Name
Myrna Gacusan
Credential
Provider Entity Type
Individual
Gender
Female
Address
6911 Tara Blvd, Jonesboro, GA, 30097-2199
Phone Number
770-477-8573
Fax Number
770-477-8573
Provider Enumeration Date
07/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6911 Tara Blvd
City
State
Zip
30236-1503
Phone Number
770-477-8573
Fax Number
770-477-8573
person
Provider Business Mailing Address Details
Address
6911 Tara Blvd
City
State
Zip
30236-1503
Phone Number
770-477-8573
Fax Number
770-477-8573
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
151283 (Georgia)
Definition
Definition to come...
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