Individual provider · Type 1 NPI

Mary Jo Ellen Gunselman, NP

Pediatric Nurse Practitioner · Charleston, SC

NPI number 1366656795 Active

Practice location

2051 Charlie Hall Blvd
Charleston, SC 29414-5834

Fax (843) 573-2534

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPN2725 (SC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1366656795

Mary Jo Ellen Gunselman, NP's National Provider Identifier is 1366656795, issued on May 8, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Charleston, SC. The record was last updated on Aug 19, 2013.