Individual
MR. JUSDAN GUY GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
119 WALNUT ST, JOHNSTOWN, PA 15901-1625
(814) 534-0745
(814) 536-5431
Mailing address
119 WALNUT ST, JOHNSTOWN, PA 15901-1625
(814) 534-0745
(814) 536-5431
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN700632
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP026430
PA
Other
Enumeration date
10/06/2022
Last updated
02/22/2024
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