MEDICARE: QUSHANIA NESBITT ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	9344910	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	9344910	FL

General Provider Information

NPI Number	:	1295247492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUSHANIA NESBITT ARNP

Provider Business Mailing Address
First Line	:	1046 E BRANDON BLVD STE 1
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-5509
Country	:	US
Telephone Number	:	727-768-9289
Fax Number	:	949-807-5425

Provider Business Practice Location Address
First Line	:	1046 E BRANDON BLVD STE 1
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-5509
Country	:	US
Telephone Number	:	727-768-9289
Fax Number	:	949-807-5425

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2017
Last Update Date	:	05/20/2026

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