Provider Demographics
NPI:1851098438
Name:GABNER, JUSTINE CORINNE (BSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:JUSTINE
Middle Name:CORINNE
Last Name:GABNER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:MISS
Other - First Name:JUSTINE
Other - Middle Name:CORINNE
Other - Last Name:GAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:PO BOX 3555
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17604-3555
Mailing Address - Country:US
Mailing Address - Phone:717-696-9612
Mailing Address - Fax:717-544-1972
Practice Address - Street 1:555 N DUKE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2250
Practice Address - Country:US
Practice Address - Phone:717-696-9612
Practice Address - Fax:717-544-1972
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN737145163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse