| NPI | 1750792768 |
|---|---|
| Former Name | JENNIFER NICOLE BUSSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA15900NP) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2019-09-13 |