| Jennifer Susan Tustison, FNP, PMHNP | |
|
2549 Eastbluff Dr Ste B-757, Newport Beach, CA 92660-3500 | |
| (949) 409-7079 | |
| (949) 220-2605 |
| Full Name | Jennifer Susan Tustison |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 2549 Eastbluff Dr Ste B-757, Newport Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710646435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95017876 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95017876 (California) | Primary |
| Entity Name | Harbor Psychiatry & Mental Health Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780050054 PECOS PAC ID: 8729394572 Enrollment ID: O20150825004062 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Susan Tustison, FNP, PMHNP 2549 Eastbluff Dr Ste B-757, Newport Beach, CA 92660-3500 Ph: (949) 409-7079 | Jennifer Susan Tustison, FNP, PMHNP 2549 Eastbluff Dr Ste B-757, Newport Beach, CA 92660-3500 Ph: (949) 409-7079 |
Mrs. Kena Gunter, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2071 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 949-759-1720 | |
Ms. Kay R Collier, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Hospital Rd Ste 401, Newport Beach, CA 92663 Phone: 949-642-6787 Fax: 949-642-4833 | |
Michael Nash, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-764-8376 | |
Olivia Taylor Trecaso, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4631 Teller Ave Ste 100, Newport Beach, CA 92660 Phone: 949-887-7187 | |
Miki Stacy Ohata, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3900 W Coast Hwy Ste 310, Newport Beach, CA 92663 Phone: 949-478-8858 | |
Danica Jane Labar, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4060 Campus Dr Ste 130, Newport Beach, CA 92660 Phone: 949-463-8651 | |
Diana Joan Munro, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 520 Superior Ave Ste 205, Newport Beach, CA 92663 Phone: 949-764-1843 |