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

Myrna Gacusan

Individual provider Family Nurse Practitioner · NPI 1174976088

Myrna Gacusan is a Family Nurse Practitioner in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016

Practice location Address checks out

6911 Tara Blvd
Jonesboro, GA 30236-1503
Phone: (770) 477-8573
Fax: (770) 477-8573
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 151283 (GA)

Record details

NPI number1174976088
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2016
Last updated in NPPESJuly 14, 2016

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