Individual
JENNIFER BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4550 COBB PARKWAY NW, ACWORTH, GA 30301
(470) 956-0150
Mailing address
4550 COBB PARKWAY NW, ACWORTH, GA 30301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN259665
GA
Other
Enumeration date
12/17/2015
Last updated
10/20/2016
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