Individual
MRS. JODY KUSHEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
764 CAMPBELL AVE STE F, WEST HAVEN, CT 06516-3786
(203) 443-9500
(203) 902-0509
Mailing address
764 CAMPBELL AVE STE F, WEST HAVEN, CT 06516-3786
(203) 395-4867
(203) 902-0509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.009109
CT
Other
Enumeration date
08/16/2020
Last updated
04/18/2024
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