Individual provider · Type 1 NPI
Jennifer Susan Tustison, FNP, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Newport Beach, CA
NPI number
1710646435
Active
Practice location
2549 Eastbluff Dr Ste B-757
Newport Beach, CA 92660-3500
Fax (949) 220-2605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95017876 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95017876 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1710646435
Jennifer Susan Tustison, FNP, PMHNP's National Provider Identifier is 1710646435, issued on Dec 9, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Newport Beach, CA. The record was last updated on Jul 8, 2026.