Basic Information
| Provider Information | |||||||||
| NPI: | 1841374527 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | USHER | ||||||||
| FirstName: | MADELINE | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | RN, NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 W 3RD AVE | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | ALBANY | ||||||||
| State: | GA | ||||||||
| PostalCode: | 317011985 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2293127000 | ||||||||
| FaxNumber: | 2293127004 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 W 3RD AVE | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | ALBANY | ||||||||
| State: | GA | ||||||||
| PostalCode: | 317011985 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2293127000 | ||||||||
| FaxNumber: | 2293127004 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/25/2006 | ||||||||
| LastUpdateDate: | 07/07/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SP0808X | RN167457 | GA | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psych/Mental Health |
No ID Information.