Gwendolyn Kersey
Nurse Practitioner (Psychiatric/Mental Health)

Address: 2600 Center St Ne Oregon State Hospital, Salem, OR 97301
Phone: 5039452800

Gwendolyn Kersey (NPI# 1801353297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1801353297
Entity Type Individual
Full Name Gwendolyn Kersey
Credential PMHNP
Gender Female
Practice Address 2600 Center St Ne Oregon State Hospital
Salem
OR 97301
Practice Telephone 5039452800
Mailing Address 908 Sw Gaines St Apt 11
Portland
OR 97239-2959
Mailing Telephone 5099914377
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-02-21
Last Update Date 2019-08-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 163W00000X Registered Nurse Nursing Service Providers 201708298RN OR
Yes 363LP0808X Nurse Practitioner · Psychiatric/Mental Health Physician Assistants & Advanced Practice Nursing Providers 201906508NP-PP OR

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124620117 Bethany Kristine Jensen Nurse Practitioner 3180 Center St Ne Ste 2100, Salem, OR 97301-4532 2020-11-13
1366073421 Aspire Telepsychiatry Nurse Practitioner 1910 24th St Ne, Salem, OR 97301-8150 2020-01-28
1962058362 Kimberly Diane Nelson Nurse Practitioner 35 Congress St Ste 225, Salem, MA 01970-5529 2019-08-13
1861970972 Norrine Mcnelley Nurse Practitioner 25 Beechwood Rd, Salem, NH 03079 2018-07-31
1811320559 Alexandra Paige Libon Strack Nurse Practitioner 70 Washington St Ste 215, Salem, MA 01970-3510 2013-08-16
1235493495 Sarah Frances Robbins Nurse Practitioner 1595 Roosevelt St Ne, Salem, OR 97301 2012-07-02
1700155538 Vanessa Anne Underwood Nurse Practitioner 1595 Cottage St Ne, Salem, OR 97301-7123 2011-12-22
1134364524 Sharon Vaden Karn Nurse Practitioner 870 Commercial St Se, Salem, OR 97302-4108 2008-12-12
1861605768 Barbara S Miller Nurse Practitioner Odoc, 2605 State St, Salem, OR 97310-0001 2007-05-07
1538225818 Aleyna Cecile Reed Nurse Practitioner 685 Cottage St Ne, Salem, OR 97301-2419 2006-12-29
Find all providers in SALEM

Office Location

Street Address 2600 CENTER ST NE OREGON STATE HOSPITAL
City SALEM
State OR
Zip Code 97301

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205450970 Jehan Seals Behavior Technician 3400 State St Set G750, Salem, OR 97301 2020-05-29
1093335929 Sterling Recovery, LLC Counselor 3758 Amber St Ne #105, Salem, OR 97301 2020-04-21
1760018360 Riverfront Mental Health LLC Counselor 338 State St, Suite 985, Salem, OR 97301 2020-03-16
1871126888 Amity Beth Haddon Maxwell Social Worker Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 2020-02-18
1861042632 Brenda Grizelda Vargas Behavior Analyst 3400 State Ste Ste G750, Salem, OR 97301 2019-09-13
1588213177 Natalie Stone Registered Nurse 2045 Siverton Rd Ne, Salem, OR 97301 2019-09-06
1588228720 Jeramy Disenso Counselor 270 Cottage St Ne, Salem, OR 97301 2019-04-23
1841769114 Spine Clinic PC Chiropractor 1281 Lancaster Drive Ne, Salem, OR 97301 2018-11-16
1013482132 Kellie Linn Hansen Physical Therapist 4049 Market St Se, Salem, OR 97301 2018-10-04
1215410428 Gemma Caliguiran Behavior Analyst 3400 State Street, Suiteg750, Salem, OR 97301 2018-09-13
Find all providers in zip 97301

Competitor

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City SALEM
Zip Code 97301

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.