Individual provider · Type 1 NPI

Autumn Delain Jusic, MSN

Nurse Practitioner · Lake City, FL

NPI number 1285579672 Active

Practice location

4196 W US Highway 90 Ste 105
Lake City, FL 32055-8834

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11047545 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1285579672

Autumn Delain Jusic, MSN's National Provider Identifier is 1285579672, issued on Apr 21, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lake City, FL. The record was last updated on Aug 31, 2026.