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Individual

JENELL BUSHONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
3501 CRANBERRY BLVD, WESTON, WI 54476-5213
(715) 847-3262
Mailing address
3501 CRANBERRY BLVD, WESTON, WI 54476-5213
(715) 847-3262

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5586-33
WI

Other

Enumeration date
11/13/2013
Last updated
04/01/2021
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