MEDICARE: MADELINE M USHER RN, NP

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	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	RN167457	GA

General Provider Information

NPI Number	:	1841374527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE M USHER RN, NP

Provider Business Mailing Address
First Line	:	500 W 3RD AVE
Second Line	:	SUITE 105
City	:	ALBANY
State	:	GA
Zip	:	31701-1985
Country	:	US
Telephone Number	:	229-312-7000
Fax Number	:	229-312-7004

Provider Business Practice Location Address
First Line	:	500 W 3RD AVE
Second Line	:	SUITE 105
City	:	ALBANY
State	:	GA
Zip	:	31701-1985
Country	:	US
Telephone Number	:	229-312-7000
Fax Number	:	229-312-7004

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	07/07/2016

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