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GERISOURCE
NPI 1871894972
Nurse Practitioner - Gerontology in Jacksonville, FL

Active since November 06, 2010
11812 CRUSSELLE DR, JACKSONVILLE, FL 32223(904) 252-5265 Get Directions Write a Review

NPPES record last updated: November 6, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gerisource NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERISOURCE (NPI 1871894972) is a healthcare organization registered as a gerontology in Jacksonville, Florida and active in the NPI registry since November 2010. The organization lists Andrea H Clayman, President, as its authorized official.

NPPES Registry Identity

NPI1871894972
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameGERISOURCE
Location Address11812 CRUSSELLE DRJacksonville, FL 32223-0876
Mailing Address11812 Crusselle DrJacksonville, FL 32223-0876 · (904) 252-5265
Phone(904) 252-5265
Organization SubpartNo
Authorized OfficialAndrea H ClaymanPresident · (904) 252-5265
Enumeration DateNovember 6, 2010
✔ NPI 1871894972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · 9260038
11812 CRUSSELLE DR, Jacksonville, FL 32223
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA H CLAYMAN GNP
Nurse Practitioner (Gerontology)
11812 CRUSSELLE DR
JACKSONVILLE, FL 32223
Duval County (904) 252-5265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerisource's NPI number?

The NPI number for Gerisource is 1871894972. It was assigned to this organization in the NPPES registry on November 6, 2010.

Where is Gerisource located?

Gerisource is located at 11812 Crusselle Dr, Jacksonville, FL 32223. The listed phone number is (904) 252-5265.

What is Gerisource's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Gerisource was last updated on November 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.