Provider Demographics
NPI:1396496048
Name:JIUSTO, EMMA
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:JIUSTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 CENTER ST APT 101
Mailing Address - Street 2:
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-1956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 ACADEMY ST
Practice Address - Street 2:
Practice Address - City:PRATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:14873-9200
Practice Address - Country:US
Practice Address - Phone:607-522-3795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY772706163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool