Provider Demographics
NPI:1447609896
Name:MERCY, GUERDINE J (ARNP)
Entity Type:Individual
Prefix:
First Name:GUERDINE
Middle Name:J
Last Name:MERCY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 45TH ST
Mailing Address - Street 2:STE 201
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2450
Mailing Address - Country:US
Mailing Address - Phone:561-882-6060
Mailing Address - Fax:561-882-4622
Practice Address - Street 1:1801 S 23RD ST STE 7
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4830
Practice Address - Country:US
Practice Address - Phone:772-465-5600
Practice Address - Fax:772-467-1050
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9306798363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily