MICHELLE DENISE BUSH (NPI# 1154450484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154450484 |
| Entity Type | Individual |
| Full Name | MICHELLE DENISE BUSH |
| Credential | RN, MSN, CRNP-BC |
| Practice Address |
3758 Highway 42 Locust Grove GA 30248-3653 |
| Practice Telephone | 6785619430 |
| Practice Fax Number | 7709141070 |
| Mailing Telephone | 6785619430 |
| Mailing Fax Number | 7709141070 |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2017-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN256477 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295154599 | Michelle Bush | Registered Nurse | 1821 Chicoma Rd Ne, Rio Rancho, NM 87144-2500 | 2014-04-15 |
| 1336545003 | Michelle Bush | Counselor | 6221 Richards Dr, Shawnee, KS 66216-1724 | 2014-11-07 |
| 1326224106 | Michelle L Bush | Nurse Practitioner | 601 N 99th St, Suite 107, Wauwatosa, WI 53226-4339 | 2008-01-11 |
| 1679503270 | Michelle L Bush | Dermatology | 128 Carnegie Row, Norwood, MA 02062-5161 | 2006-07-03 |
| Street Address |
3758 HIGHWAY 42 |
| City | LOCUST GROVE |
| State | GA |
| Zip Code | 30248-3653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088511 | Shehnaz Makhani | Family Medicine | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2005-07-22 |
| 1417481516 | Crystal Bales | Nurse Practitioner | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2017-04-14 |
| 1851823520 | Regan Joy Frake | Family Medicine | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2017-03-31 |
| 1366576001 | Eagle's Landing Pharmacy II | Pharmacy | 3758 Highway 42, Suite 201, Locust Grove, GA 30248-3653 | 2007-03-15 |
| 1518047844 | Jimmy L Hightower Jr. | Physician Assistant | 3758 Highway 42, Locust Grove, GA 30248 | 2006-10-17 |
| 1255426706 | Linda Jean King | Dentist | 3758 Highway 42, Suite 303, Locust Grove, GA 30248 | 2006-10-03 |
| 1295837102 | Gary Day | Physician Assistant | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2006-09-01 |
| 1619985041 | David Farmer | Physician Assistant | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2006-08-03 |
| 1710929914 | Eagles Landing Family Practice, LLC | Family Medicine | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2006-06-12 |
| 1235113002 | Alicia Grady | Internal Medicine | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2005-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809779 | Uyen Nguyen | Dentist | 4146 Ga-42, Locust Grove, GA 30248 | 2019-06-10 |
| 1669038303 | Monique Antoinette Joseph | Nurse Practitioner | 3334 Highway 155 Ste B, Locust Grove, GA 30248 | 2019-05-17 |
| 1811552524 | Fresenius Medical Care Locust Grove, LLC | Clinic/Center | 2855 Ga-155 S, Locust Grove, GA 30248 | 2019-05-08 |
| 1972167765 | Wesley Todd Livingston | Pharmacist | 2730 Ga 155, Locust Grove, GA 30248 | 2019-04-26 |
| 1053974550 | Wish You Well Youth Faith Foundation Inc | Contractor | 147 Laughlin Dr, Locust Grove, GA 30248 | 2019-04-19 |
| 1740776517 | Takle Eye Surgery Center LLC | Clinic/Center | 1075 Bandy Pkwy, Ste 105, Locust Grove, GA 30248 | 2018-07-05 |
| 1508357559 | Justin Robert Crumpton | Behavioral Analyst | 212 Westin Park Dr, Locust Grove, GA 30248 | 2018-05-25 |
| 1730679051 | Lisa Renee Jones | Family Medicine | 3778 G 42, Locus Grove, GA 30248 | 2018-05-11 |
| 1275042152 | Stephanie Jones Headen | Counselor | 211 Peeksville Rd., Locust Grove, GA 30248 | 2017-09-23 |
| 1942735592 | Brandi Nicole Buice Minter | Pharmacist | 4920 Bill Gardner Parkway, Locust Grove, GA 30248 | 2017-04-20 |
| Find all providers in zip 30248 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059327 | Ariel Lorraine Curtis | Nurse Practitioner | 505 Sarahs Ln, Locust Grove, GA 30248-3850 | 2019-12-05 |
| 1093370686 | Florence Achilihu Adiele | Nurse Practitioner | 5293 Heron Bay Blvd, Locust Grove, GA 30248-7104 | 2019-05-08 |
| 1053879031 | Bridgette G Williams | Nurse Practitioner | 1201 Nottley Dr, Locust Grove, GA 30248-7080 | 2019-03-08 |
| 1407320369 | Latonya Mathis | Nurse Practitioner | 6060 Golf View Xing, Locust Grove, GA 30248-7069 | 2019-01-14 |
| 1396269155 | Melissa Loper | Nurse Practitioner | 364 Southgate Dr, Locust Grove, GA 30248-4235 | 2017-08-02 |
| 1891062188 | Gregory Bernadas Guinoo | Nurse Practitioner | 3778 Hwy 42, Locust Grove, GA 30248-3632 | 2011-11-30 |
| 1619273133 | Modupe Oluyemisi Salami | Nurse Practitioner | 331 Black Willow Ct, Locust Grove, GA 30248-6606 | 2011-01-31 |
| 1255512984 | Stephanie Brazeal Jackson | Nurse Practitioner | 711 Trestle Rd, Locust Grove, GA 30248-3465 | 2007-11-21 |
| 1417481516 | Crystal Bales | Nurse Practitioner | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2017-04-14 |
| 1063690964 | Deborah Prather | Nurse Practitioner | 3334 Highway 155, Locust Grove, GA 30248-3513 | 2008-02-04 |
| Find all providers in LOCUST GROVE | ||||
| City | LOCUST GROVE |
| Zip Code | 30248 |
Please comment or provide details below to improve the information on MICHELLE DENISE BUSH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.