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JACQUELINE ROSEANN BUSHELL RN NPI 1760082119


NPI Information

NPI: 1760082119
Provider Name: JACQUELINE ROSEANN BUSHELL, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
925 SANDERS RD
CUMMING, GA
ZIP 30041
Phone: (678) 261-7671
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Jacqueline Roseann Bushell, RN is a psychiatric/mental health nurse practitioner in Cumming, GA. Jacqueline Roseann Bushell, RN NPI is 1760082119. 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:

925 SANDERS RD
CUMMING, GA
ZIP 30041-945
Phone: (678) 261-7671

The NPI 1760082119 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 10/27/2020 and was last updated on 7/20/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WC0400XRegistered NurseCase ManagementRN177666GEORGIANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthRN177666GEORGIAYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.