Individual
DR. JOCELYN L. BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2760
(317) 706-7246
(317) 706-3419
Mailing address
8805 N MERIDIAN ST, INDIANAPOLIS, IN 46260-2760
(317) 706-7246
(317) 706-3419
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
01066384A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
036-112884
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
01066384A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200948290
—
IN
01
—
268960E
MEDICARE
IN
Enumeration date
09/15/2006
Last updated
01/25/2023
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