SUZANNE BUSHONG APN NPI 1417929316

NPI Information

NPI: 1417929316
Provider Name: SUZANNE BUSHONG, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
630 W COURT ST
PARAGOULD, AR
ZIP 72450
Phone: (870) 236-6911
Get Directions

Suzanne Bushong, APN is a family nurse practitioner in Paragould, AR. Suzanne Bushong, APN NPI is 1417929316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

630 W COURT ST
PARAGOULD, AR
ZIP 72450-247
Phone: (870) 236-6911
Fax: (870) 236-8129

The NPI 1417929316 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2006 and was last updated on 5/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A01023	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	139748758	MEDICAID	ARKANSAS
2	R22207	MEDICARE UPIN	ARKANSAS
3	5V645	MEDICARE PIN	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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