Individual
JENNIFER SUSAN TUSTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
18 BARTOL ST STE 1370, SAN FRANCISCO, CA 94133-4501
(415) 231-6100
Mailing address
18 BARTOL ST STE 1370, SAN FRANCISCO, CA 94133-4501
(415) 231-6100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95017876
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017876
CA
Other
Enumeration date
12/09/2021
Last updated
07/15/2022
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