Provider Demographics
NPI:1831129766
Name:CUSKEY, JEANNE (NP)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:
Last Name:CUSKEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 GLENALLEN ST
Mailing Address - Street 2:
Mailing Address - City:WINCHENDON SPG
Mailing Address - State:MA
Mailing Address - Zip Code:01477-0494
Mailing Address - Country:US
Mailing Address - Phone:978-297-2385
Mailing Address - Fax:978-297-2385
Practice Address - Street 1:448 GLENALLEN ST
Practice Address - Street 2:
Practice Address - City:WINCHENDON SPG
Practice Address - State:MA
Practice Address - Zip Code:01477-0494
Practice Address - Country:US
Practice Address - Phone:978-297-2385
Practice Address - Fax:978-297-2385
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA124876363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner