Provider Demographics
NPI:1760630156
Name:HUSSEY, JUDITH ANN (ARNP, BC)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ANN
Last Name:HUSSEY
Suffix:
Gender:F
Credentials:ARNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2944 PENN AVE STE L
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32448-2741
Mailing Address - Country:US
Mailing Address - Phone:850-526-5500
Mailing Address - Fax:850-526-5536
Practice Address - Street 1:2944 PENN AVE STE L
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32448
Practice Address - Country:US
Practice Address - Phone:850-526-5500
Practice Address - Fax:850-526-5536
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1231102363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQ66528Medicare UPIN