Provider Demographics
NPI:1992706576
Name:NUSS, JAY D (MSN CNS)
Entity type:Individual
Prefix:
First Name:JAY
Middle Name:D
Last Name:NUSS
Suffix:
Gender:M
Credentials:MSN CNS
Other - Prefix:
Other - First Name:J DOUGLAS
Other - Middle Name:
Other - Last Name:NUSS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN CNS
Mailing Address - Street 1:4 ALLEGHENY CTR FL 8
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5255
Mailing Address - Country:US
Mailing Address - Phone:412-330-4000
Mailing Address - Fax:412-330-4366
Practice Address - Street 1:4 ALLEGHENY CTR FL 8
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-5255
Practice Address - Country:US
Practice Address - Phone:412-330-4000
Practice Address - Fax:412-330-4366
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN275612L364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
105708Medicare PIN
PA105708NH7Medicare PIN