Provider Demographics
NPI:1003838814
Name:GEMSCH, LINDA JOLENE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JOLENE
Last Name:GEMSCH
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 1:2420 JENKS AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4411
Mailing Address - Country:US
Mailing Address - Phone:850-763-3635
Mailing Address - Fax:850-770-3265
Practice Address - Street 1:2420 JENKS AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4411
Practice Address - Country:US
Practice Address - Phone:850-763-3635
Practice Address - Fax:850-770-3265
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1650342363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP1650342OtherMEDICAL LICENSE
FLN/AMedicaid
FLE5919TMedicare PIN