Provider Demographics
NPI:1922797349
Name:KUSHNER, JENNIFER LYNN (PA)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYNN
Last Name:KUSHNER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:422 EAST ST
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02302-4134
Mailing Address - Country:US
Mailing Address - Phone:860-751-4339
Mailing Address - Fax:
Practice Address - Street 1:26 THOMSON PL
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02210-1212
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:415-252-7176
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2025-03-17
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant