Individual
YOLANDA M BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
156 E WALNUT AVE, EUPORA, MS 39744-2027
(731) 394-1145
Mailing address
44 HOSFORD ST, MACON, MS 39341-2667
(662) 251-9054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
906356
MS
Other
Enumeration date
11/17/2023
Last updated
08/19/2024
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