MEDICARE: MRS. LINDA JOLENE GEMSCH 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	363LF0000X	Family Nurse Practitioner	ARNP1650342	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ARNP1650342	OTHER	FL	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003838814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA JOLENE GEMSCH ARNP

Provider Business Mailing Address
First Line	:	2420 JENKS AVE
Second Line	:	SUITE 5
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4411
Country	:	US
Telephone Number	:	850-763-3635
Fax Number	:	850-770-3265

Provider Business Practice Location Address
First Line	:	2420 JENKS AVE
Second Line	:	SUITE 5
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4411
Country	:	US
Telephone Number	:	850-763-3635
Fax Number	:	850-770-3265

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	01/05/2017

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