JACQUELINE ROSEANN BUSHELL

CUMMING, GA
NPI1760082119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN177666)
Additional Taxonomies163WC0400X Registered Nurse, Case Management
(Licence: GA  RN177666)
Enumeration Date2020-10-27
Last Update Date2023-07-20
Business Address
JACQUELINE ROSEANN BUSHELL RN
925 SANDERS RD
CUMMING, GA 30041-7945
Phone number: 678-261-7671
Mailing Address
JACQUELINE ROSEANN BUSHELL RN
1245 RIVERLOCH WAY
LAWRENCEVILLE, GA 30043-4488
Phone number: 678-863-6859