| NPI | 1992137046 |
|---|---|
| Former Name | JESSICA FLANAGAN BUSHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23388) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA 60749070) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 60749070) | |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2023-09-07 |