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Contact Information

JACQUELINE GERRISH
401 S WASILLA ST UNIT 26
WASILLA, AK99654-8173
 Phone: 907-982-5039
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for JACQUELINE GERRISH · (Female)

NPI # 1972955532
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2016
Last updated 07/07/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 111149
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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