Jennifer Bush, NP-C
Nurse Practitioner, Family in Acworth, GA. Individual provider (NPI-1).
NPI number1104281187
StatusActive
Last updated in NPPESOct 20, 2016
Details
- NPI
- 1104281187
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Bush
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2015
- Last updated
- Oct 20, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN259665 | GA | Yes |
Practice location
4550 Cobb Parkway NwAcworth, GA 30301
Phone 470-956-0150
Mailing address
4550 Cobb Parkway NwAcworth, GA 30301
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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