Individual
JENNIFER ELLEN BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4895 OLENTANGY RIVER RD, SUITE 200, COLUMBUS, OH 43214-1926
(614) 326-1502
(614) 326-3011
Mailing address
4895 OLENTANGY RIVER RD, SUITE 200, COLUMBUS, OH 43214-1926
(614) 326-1502
(614) 326-3011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.120702
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083991
—
OH
Enumeration date
03/23/2007
Last updated
08/01/2013
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