Healthcare Provider Details

I. General information

NPI: 1295247492
Provider Name (Legal Business Name): QUSHANIA NESBITT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2017
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1046 E BRANDON BLVD STE 1
BRANDON FL
33511-5509
US

IV. Provider business mailing address

1046 E BRANDON BLVD STE 1
BRANDON FL
33511-5509
US

V. Phone/Fax

Practice location:
  • Phone: 727-768-9289
  • Fax: 949-807-5425
Mailing address:
  • Phone: 727-768-9289
  • Fax: 949-807-5425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9344910
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9344910
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: