Jayne Susan Bush, FNP Valid NPI

Individual provider · Nurse Practitioner · Fort Bragg, CA

NPI

1770607202

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

141097 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2007-03-19

Last updated

2007-07-08