Individual
SHANNON MICHELLE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 GRESHAM DR, NORFOLK, VA 23507
(757) 668-9009
Mailing address
401 GRESHAM DR, NORFOLK, VA 23507
(757) 668-9009
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0091833
MD
Other
Enumeration date
03/21/2019
Last updated
09/28/2025
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