Individual
JESSICA RAE BUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 PORTAGE LAKES DR, COVENTRY TOWNSHIP, OH 44319-2299
(234) 867-6626
(234) 867-7766
Mailing address
407 W MAPLE ST, NORTH CANTON, OH 44720-2719
(336) 682-8051
(234) 867-7766
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
275312
OH
363LF0000X
Family Nurse Practitioner
Primary
025701
OH
Other
Enumeration date
03/10/2018
Last updated
06/12/2025
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