Individual ProviderJwana QussousStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3601 4th Street, Luccock, TX 79430(806) 743-3849PECOS EnrollmentBased on the most recent information from CMS, provider Jwana Qussous does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1699566208Provider TypeIndividualFull NameQussous, JwanaGenderFemaleSole ProprietorNoEnumeration Date5/14/2025Last Updated5/14/2025Contact InformationPractice LocationPractice Address3601 4th Street, Luccock, TX 79430Phone(806) 743-3849FaxUnlisted FaxMailing LocationMailing Address3601 4th Street, Luccock, TX 79430Phone(806) 743-3849FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer