JENNIFER MARIE BUSH

MIDVALE, UT
NPI1760056089
Former NameJENNIFER MARIE DAVIDSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  12033858-4405)
Enumeration Date2021-05-20
Last Update Date2021-05-20
Business Address
JENNIFER MARIE BUSH NP
809 W KENZIE WAY
MIDVALE, UT 84047-4786
Phone number: 770-364-1205
Mailing Address
JENNIFER MARIE BUSH NP
809 W KENZIE WAY
MIDVALE, UT 84047-4786
Phone number: 770-364-1205