Individual
JESSICA COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1225 WARM SPRINGS AVE, SUITE 201, HUNTINGDON, PA 16652-2350
(814) 643-8585
Mailing address
1527 MIFFLIN ST, HUNTINGDON, PA 16652-2019
(814) 506-7142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014114
PA
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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