Provider Demographics
NPI:1225398688
Name:GEBHARD, JEAN T (APN, RN)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:T
Last Name:GEBHARD
Suffix:
Gender:F
Credentials:APN, RN
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Mailing Address - Street 1:PO BOX 4540
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89702-4540
Mailing Address - Country:US
Mailing Address - Phone:775-882-0430
Mailing Address - Fax:775-852-6902
Practice Address - Street 1:2874 N CARSON ST
Practice Address - Street 2:SUITE200
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-0251
Practice Address - Country:US
Practice Address - Phone:775-445-7170
Practice Address - Fax:775-883-0959
Is Sole Proprietor?:No
Enumeration Date:2012-05-19
Last Update Date:2014-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVAPN001379363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVGE328ZMedicare PIN