Jared Allen Bush, PA
Physician Assistant in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1811855463
StatusActive
Last updated in NPPESJan 13, 2026
Details
- NPI
- 1811855463
- Entity type
- Individual (NPI-1)
- Name
- Jared Allen Bush
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2026
- Certification date
- Jan 13, 2026
- Last updated
- Jan 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | MS | Yes |
Practice location
6051 U S Highway 49Hattiesburg, MS 39401-7200
Phone 601-288-7000
Mailing address
3439 Monroe RdSeminary, MS 39479-4076
Phone 601-580-7295
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All 25 Physician Assistant providers in Hattiesburg · All 3,372 providers in Hattiesburg
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