Provider Demographics
NPI:1083892962
Name:RUSK, JOANNA PRICE (NPP)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:PRICE
Last Name:RUSK
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:JOANNA
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NPP
Mailing Address - Street 1:325 COLUMBIA ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-1931
Mailing Address - Country:US
Mailing Address - Phone:518-828-9446
Mailing Address - Fax:
Practice Address - Street 1:325 COLUMBIA ST STE 300
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-1931
Practice Address - Country:US
Practice Address - Phone:518-828-9446
Practice Address - Fax:518-828-8098
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400878363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health