| Doctor Name: | KRISTIN ANN GJERSET |
| NPI Number: | 1174911127 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, CNP |
| License Number: | R163417-4 |
| Business Practice Address: | 1200 Sixth Ave N Centracare Clinic St Cloud, MN - 563032735 |
| Business Phone Number: | 3202512700 |
| Business Fax Number: | |
| Mailing Address: | 1200 Sixth Ave N, Centracare Clinic ST CLOUD |
| State: | MN |
| Postal Code: | 563032735 |
| Phone Number: | 3202512700 |
| Fax Number: | |
| NPI Enumeration Date: | 12/29/2014 |
| NPI Last Update Date: | 12/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LN0000X |
| License Number: | R163417-4 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Neonatal |
| Taxonomy Definition: | |