Individual provider · Type 1 NPI

Jamie L. Bush, CRNP

Nurse Practitioner · State College, PA

NPI number 1699289330 Active

Practice location

239 Colonnade Blvd Fl 2
State College, PA 16803-2668

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XSP018120 (PA)
Nurse Practitioner Primary 363L00000XSP018120 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

Another provider at this address

Other nurse practitioner providers in State College

See all in State College →

About NPI 1699289330

Jamie L. Bush, CRNP's National Provider Identifier is 1699289330, issued on Nov 16, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in State College, PA. The record was last updated on Sep 15, 2025.