Individual
TASHYKA JUSSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 575-0222
Mailing address
3113 4TH ST SW, LEHIGH ACRES, FL 33976-2433
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11046166
FL
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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