MEDICARE: JENNIFER GUSLER HOUGH ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	201528	NC
2	363LF0000X	Family Nurse Practitioner	201528	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7005254	OTHER		RAILROAD-MEDICARE
3	7005254	OTHER		MEDICARE
4	P00419126	OTHER	NC	RAILRAOD-MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497746580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER GUSLER HOUGH ARNP

Provider Business Mailing Address
First Line	:	PO BOX 52411
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85072-2411
Country	:	US
Telephone Number	:	919-785-3400
Fax Number	:	919-783-7778

Provider Business Practice Location Address
First Line	:	110 CAPCOM AVE STE 200
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-6531
Country	:	US
Telephone Number	:	919-229-4046
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2005
Last Update Date	:	12/04/2025

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