Mr. Gavin Lee Flentge, AGACNP-BC
Mr. Gavin Lee Flentge, AGACNP-BC is a Nurse Practitioner in Perryville, Missouri. Qualified in 2020, 6 years ago. Practices with Mercy Hospital Jefferson, an 11-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 6
- Licensed in
- MO
- In the registry since
- 2020
Practice location Address checks out
8 N French LnPerryville, MO 63775-1577
Phone: (573) 768-6986
Fax: (949) 655-8621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 2020019956 (MO) |
|---|
Record details
| NPI number | 1063039311 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AGACNP-BC |
| Sole proprietor | No |
| NPI enumerated | July 2, 2020 |
| Last updated in NPPES | August 10, 2021 |
| Certification date | August 10, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Mercy Hospital Jefferson — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |