Individual provider · Type 1 NPI
Ethan Jevon Merkel, AGACNP-BC
Gerontology Nurse Practitioner · Jasper, IN
NPI number
1861966533
Active
Practice location
721 W 13th St Ste 221
Jasper, IN 47546-1817
Mailing address
PO Box 1028
Jasper, IN 47547-1028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 71008754A (IN) |
| Nurse Practitioner | 363L00000X | 71008754A (IN) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1861966533
Ethan Jevon Merkel, AGACNP-BC's National Provider Identifier is 1861966533, issued on Jan 16, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Jasper, IN. The record was last updated on Apr 9, 2026.