Individual
ASHLEY T CUSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP FNP-C
Contact information
Practice address
990 AIRPORT RD, DESTIN, FL 32541-2820
(850) 269-6400
(850) 654-9581
Mailing address
102 TUSCANY DR, DESTIN, FL 32541-3718
(985) 500-5812
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN11026661
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11026661
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118407900
—
FL
Enumeration date
05/31/2023
Last updated
10/15/2025
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