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MRS. JERELYN J. GUMERSON NP
NPI 1912970625
Nurse Practitioner - Family in Indianapolis, IN

Active since February 12, 2006
3834 S EMERSON AVE, BUILDING C, SUITE 100, INDIANAPOLIS, IN 46203(317) 782-1577(317) 780-5539 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2018, Jul 19, 2018 (2 updates tracked since 2018).

About Mrs. Jerelyn J. Gumerson Np NPPES

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

MRS. JERELYN J. GUMERSON NP (NPI 1912970625) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71000562A) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1912970625
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JERELYN J. GUMERSONCredential: NP
Location Address3834 S EMERSON AVE, BUILDING C, SUITE 100Indianapolis, IN 46203
Mailing AddressPo Box 3299Carson City, NV 89702-3299 · (775) 222-0044 · Fax (888) 700-0187
Phone(317) 782-1577
Fax(317) 780-5539
Sole ProprietorNo
Enumeration DateFebruary 12, 2006
Last NPPES UpdateAugust 2, 20182 updates tracked since enumeration
✔ NPI 1912970625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71000562A
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 71000562A (IN)
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 71000562A (IN)
3834 S EMERSON AVE, Indianapolis, IN 46203
Open in Google Maps ↗

Other Identifiers 2

Medicaid200215810IN
OtherP01424889IN · Medicare Railroad Pin

Other Providers at the Same Location NPPES 14

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

BRIDGET A. WITSKEN NP
Nurse Practitioner
3834 S EMERSON AVE, BUILDING C, SUITE 100
INDIANAPOLIS, IN 46203
Marion County (317) 782-1577
MRS. ABIGAIL G BORIS APRN
Nurse Practitioner (Adult Health)
3834 S EMERSON AVE, BLDG C STE 100
INDIANAPOLIS, IN 46203
Marion County (317) 782-1577
MR. BRYON W MILLER MSN RNC
Nurse Practitioner
3834 S EMERSON AVE, BUILDING C, SUITE 100
INDIANAPOLIS, IN 46203
Marion County (317) 782-1577
ANNABEL LACKEY AGNP
Nurse Practitioner (Gerontology)
3834 S EMERSON AVE
INDIANAPOLIS, IN 46203
Marion County (317) 781-2009
KELLI JOY BOVENKERK NP
Nurse Practitioner (Gerontology)
3834 S EMERSON AVE, BUILDING C, SUITE 100
INDIANAPOLIS, IN 46203
Marion County (775) 222-0044
DR. CHIJIOKE A. KALU M.D.
Family Medicine
3834 S EMERSON AVE, BUILDING C, SUITE 100
INDIANAPOLIS, IN 46203
Marion County (317) 782-1577
MR. THOMAS EDWIN PUCKETT JR. N.P.
Nurse Practitioner
3834 S EMERSON AVE, BLDG C STE 100
INDIANAPOLIS, IN 46203
Marion County (317) 782-1577
KRISTIN A TETER NP
Nurse Practitioner (Adult Health)
3834 S EMERSON AVE, BUILDING C, SUITE 100
INDIANAPOLIS, IN 46203
Marion County (317) 782-1577

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 Jerelyn Gumerson's NPI number?

The NPI number for Jerelyn Gumerson is 1912970625. It was assigned to this individual provider in the NPPES registry on February 12, 2006.

Where is Jerelyn Gumerson located?

Jerelyn Gumerson practices at 3834 S Emerson Ave Building C, Suite 100, Indianapolis, IN 46203. The listed phone number is (317) 782-1577.

What is Jerelyn Gumerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jerelyn Gumerson was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.