Individual
CADTINA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 M.L.K. JR ST, JONESTOWN, MS 38639
(402) 975-0322
Mailing address
4780 I 55 N STE 100, JACKSON, MS 39211-5583
(601) 277-7825
(601) 277-7830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
926911
MS
Other
Enumeration date
08/29/2023
Last updated
07/12/2024
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