Individual
ALEXIS CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2816 AMES AVE, OMAHA, NE 68111-2431
(531) 895-7802
(531) 895-4013
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2337543
MA
363L00000X
Nurse Practitioner
RN2337543
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
116213
NE
363LG0600X
Gerontology Nurse Practitioner
RN2337543
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110180751A
—
MA
05
—
3138558
—
NH
Enumeration date
08/11/2021
Last updated
10/31/2025
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