Individual
JESSICA T BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, RN
Contact information
Practice address
285 OLMSTED BLVD, SUITE 1, PINEHURST, NC 28374-8731
(910) 295-7246
(910) 222-3168
Mailing address
285 OLMSTED BLVD, SUITE 1, PINEHURST, NC 28374-8731
(910) 295-7246
(910) 222-3168
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304681
NY
Other
Enumeration date
07/10/2007
Last updated
11/09/2015
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