Individual provider · Type 1 NPI

Gina A. Gustafson, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Mishawaka, IN

NPI number 1700511193 Active

Practice location

215 W 4th St
Mishawaka, IN 46544-1917

Mailing address

52854 Hill Trl
South Bend, IN 46628-9285

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X71012773A (IN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1700511193

Gina A. Gustafson, PMHNP's National Provider Identifier is 1700511193, issued on Jul 19, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mishawaka, IN. The record was last updated on Jan 4, 2026.