Provider Demographics
NPI:1366402539
Name:GERKIN, JOANN MARIE (RN)
Entity type:Individual
Prefix:MS
First Name:JOANN
Middle Name:MARIE
Last Name:GERKIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:JOANN
Other - Middle Name:MARIE
Other - Last Name:STEPHENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 THERESA LN
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:MD
Mailing Address - Zip Code:21901-3201
Mailing Address - Country:US
Mailing Address - Phone:410-287-7545
Mailing Address - Fax:
Practice Address - Street 1:3465 BOX HILL CORPORATE CENTER DR
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1261
Practice Address - Country:US
Practice Address - Phone:443-402-2695
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR126597163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health