Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Jean Custer

Individual provider Family Nurse Practitioner · NPI 1053085530

Jessica Jean Custer is a Nurse Practitioner in Johnstown, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Dlp Conemaugh Physician Practices LLC, a 284-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
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Practice location Address checks out

1086 Franklin St
Johnstown, PA 15905-4305
Phone: (814) 534-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP024049 (PA)

Record details

NPI number1053085530
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 6, 2021
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021
Mailing address134 Venango Trl, Davidsville, PA 15928-9638

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Dlp Conemaugh Physician Practices Llc — 284 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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