Individual provider · Type 1 NPI
Michayala Bush
Family Nurse Practitioner · Smithville, GA
NPI number
1396288684
Active
Practice location
164 Paul St
Smithville, GA 31787-2653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NCO-000001 (GA) |
Family Nurse Practitioner: Definition to come...
About NPI 1396288684
Michayala Bush's National Provider Identifier is 1396288684, issued on Nov 18, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Smithville, GA. The record was last updated on Nov 18, 2016.