Individual
MRS. ADRIANNA BUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 SOUTH BECKHAM, TYLER, TX 75701
(903) 590-5611
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 590-5611
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP137391
TX
Other
Enumeration date
06/28/2018
Last updated
07/17/2018
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