Jessica Lynn Nusslein, BSW

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

50 Lyte
Millersville, PA 17551

Phone

(267) 273-8973

NPI assigned

Sep 14, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1861162646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1002",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "175510302",
            "telephone_number": "267-273-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LYTE",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "17551",
            "telephone_number": "267-273-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSLEIN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LISCENSE",
            "identifier": "26420944",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "01/01/2023",
            "affiliation": "Y",
            "endpointDescription": "date",
            "affiliationName": "Millersville University Health Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "50 Lyte",
            "city": "Millersville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madeline Anne Mitchell
• Mikeisha Isonita Mobley
• Christine M Anderson Mohn
• Shontell Yvonne Moman
• Maria Teresa Murray, PH.D.
• Lacey O'Donnell
• Shannon O'Loughlin
• Jaida Christine O'Neal-Sloane
• Dylan O'Neill
• Deja Outten

• Student in an Organized Health Care Education/Training Program in Millersville, PA
• Providers in Millersville, PA by specialty
• Student in an Organized Health Care Education/Training Program in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.