Individual provider · Type 1 NPI
Jessica Jean Custer
Family Nurse Practitioner · Johnstown, PA
NPI number
1053085530
Active
Practice location
1086 Franklin St
Johnstown, PA 15905-4305
Mailing address
134 Venango Trl
Davidsville, PA 15928-9638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP024049 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053085530
Jessica Jean Custer's National Provider Identifier is 1053085530, issued on Aug 6, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Johnstown, PA. The record was last updated on Aug 6, 2021.