LISA N. BUSH (NPI# 1659402915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659402915 |
| Entity Type | Individual |
| Full Name | LISA N. BUSH |
| Credential | N.P. |
| Practice Address |
13262 Hwy 26 East Davisboro GA 31018 |
| Mailing Address |
2104 Amberley Pass Evans GA 30809 |
| Practice Telephone | 4783482371 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN069061 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306382171 | Lisa M Bush | Nurse Practitioner | 3400 Civic Center Blvd, 3rd Floor, Phila, PA 19104-5127 | 2017-01-17 |
| 1710387881 | Lisa Bush | Genetic Counselor, MS | 1000 Johnson Ferry Road Ne, Atlanta, GA 30342-1611 | 2014-08-26 |
| 1689095358 | Lisa Renee Bush | Social Worker | 789 N Clare Ave, Harrison, MI 48625-9194 | 2013-12-26 |
| 1205184470 | Lisa Bush | Physician Assistant | 5151 State University Dr, Los Angeles, CA 90032-4226 | 2012-08-20 |
| 1528372380 | Lisa D Bush | Physician Assistant | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2010-08-03 |
| 1326022856 | Lisa Bush | Dentist | 401 Holly Hills Ave, Saint Louis, MO 63111-2410 | 2005-11-29 |
| Street Address |
13262 HWY 26 EAST |
| City | DAVISBORO |
| State | GA |
| Zip Code | 31018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215432802 | Twanna Johnson Dumas | Nurse Practitioner | 13262 Ga-24, Davisboro, GA 31018 | 2018-03-27 |
| 1891717963 | Joseph Newsom Rawlings | Specialist | 2933 Heards Bridge Rd, Davisboro, GA 31018-5220 | 2006-07-24 |
| 1982107827 | 24/7 Medical Transit | Non-emergency Medical Transport (VAN) | 11039 Ga Highway 231, Davisboro, GA 31018-5408 | 2018-03-16 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215432802 | Twanna Johnson Dumas | Nurse Practitioner | 13262 Ga-24, Davisboro, GA 31018 | 2018-03-27 |
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|---|---|---|---|---|
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| 1104427061 | Tya Wright | Nurse Practitioner | 1450 Newnan Crossing Blvd E Apt 13205, Newnan, GA 30265-0027 | 2020-11-05 |
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1639770027 | Markesha Leshea Groomes | Nurse Practitioner | 209 N. Cuthbert, Colquitt, GA 39837-3515 | 2020-11-03 |
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1558962894 | Anna Marie Kodama | Nurse Practitioner | 462 Furys Ferry Rd # C, Augusta, GA 30907-9506 | 2020-11-03 |
| 1093315848 | Tracy Tarvers | Nurse Practitioner | 129 Wolf Creek Dr N, Macon, GA 31210-9002 | 2020-10-30 |
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| 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.