Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gerisource

Organization Gerontology Nurse Practitioner · NPI 1871894972

Gerisource is a Gerontology Nurse Practitioner in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

11812 Crusselle Dr
Jacksonville, FL 32223-0876
Phone: (904) 252-5265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 9260038 (FL)

Record details

NPI number1871894972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Clayman — President · (904) 252-5265
NPI enumeratedNovember 6, 2010
Last updated in NPPESNovember 6, 2010
Mailing address11812 Crusselle Dr, Jacksonville, FL 32223-0876

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