Individual
JESSICA JEAN CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-9000
Mailing address
134 VENANGO TRL, DAVIDSVILLE, PA 15928-9638
(814) 241-4571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024049
PA
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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