ETHAN JEVON MERKEL


Address: 721 W 13th St Ste 221, Jasper, IN 47546-1817
Phone: 8129960564

ETHAN JEVON MERKEL (NPI# 1861966533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861966533
Entity Type Individual
Full Name ETHAN JEVON MERKEL
Credential AGACNP-BC
Practice Address 721 W 13th St Ste 221
Jasper
IN 47546-1817
Mailing Address Po Box 1028
Jasper
IN 47547-1028
Practice Telephone 8129960564
Mailing Telephone 8129968478
Enumeration Date 2019-01-16
Last Update Date 2019-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
71008754A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 721 W 13TH ST STE 221
City JASPER
State IN
Zip Code 47546-1817

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City JASPER
Zip Code 47546

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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