Ashli Nicole Bussey
In Home Supportive Care in Douglas, GA. Individual provider (NPI-1).
NPI number1346094331
StatusActive
Last updated in NPPESApr 16, 2024
Details
- NPI
- 1346094331
- Entity type
- Individual (NPI-1)
- Name
- Ashli Nicole Bussey
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2024
- Certification date
- Apr 16, 2024
- Last updated
- Apr 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | GA | Yes |
| 172A00000X | Driver | – | GA |
Practice location
1101 Gaskin Ave NDouglas, GA 31533-3021
Phone 912-592-2817
Mailing address
618 Roper StDouglas, GA 31533-4031
Phone 912-592-2817
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