Individual provider · Type 1 NPI
Jacqualine Kay Gervais, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Moorhead, MN
NPI number
1336481803
Active
Practice location
819 30th Ave S Ste 206
Moorhead, MN 56560-5054
Mailing address
819. 30 Ave S Office 206
Moorhead, MN 56560
Other practice locations
- 5306 Ballard Ave NW Ste 208, Seattle, WA 98107-4366 · (218) 477-1353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R32567 (ND) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1336481803
Jacqualine Kay Gervais, PMHNP's National Provider Identifier is 1336481803, issued on Mar 22, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Moorhead, MN. The record was last updated on Aug 23, 2021.