JORDAN R BUSHNELL


Address: 1440 E County Line Rd, Indianapolis, IN 46227-0963
Phone: 3174976270

JORDAN R BUSHNELL (NPI# 1427595032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427595032
Entity Type Individual
Full Name JORDAN R BUSHNELL
Credential FNP-C
Practice Address 1440 E County Line Rd
Indianapolis
IN 46227-0963
Mailing Address 1440 E County Line Road
Indianapolis
IN 46227
Practice Telephone 3174976270
Enumeration Date 2017-01-21
Last Update Date 2020-09-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
71007136A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 300003636 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
6626 E 75th St Ste 500, Indianapolis, IN 462502890 3176211647

Office Location

Street Address 1440 E COUNTY LINE RD
City INDIANAPOLIS
State IN
Zip Code 46227-0963

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821274101 Oncology Hematology Care Center Inc Internal Medicine 1440 E County Line Rd, Indianapolis, IN 46227-0963 2008-01-16
1922463231 John Glick Physician Assistant 1440 E County Line Rd, St 1200, Indianapolis, IN 46227-0963 2015-12-31
1538532155 Christie Andreone Physician Assistant 1440 E County Line Rd, Suite 2100, Indianapolis, IN 46227-0963 2015-11-04
1275953135 Mid America Clinical Laboratories, LLC Clinical Medical Laboratory 1440 E County Line Rd, Suite 1300, Indianapolis, IN 46227-0963 2014-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679184477 Zachry Skinner Specialist/Technologist 1683 E Hanna Ave, Indianapolis, IN 46227 2020-08-14
1104481415 Corinne Mcdonald Music Therapist 7502 Madison Avenue, Indianapolis, IN 46227 2019-05-02
1205318649 Kesha Conner Counselor 8320 Madison Ave Indianapolis, In, Indianapolis, IN 46227 2018-09-01
1609369719 Victoria Lynn West Arnold Physician Assistant 1550 E County Line Rd Ste 320, Indianapolis, IN 46227 2018-06-13
1518466960 Debra Cottongim Physical Therapy Assistant 6329 South East St, Ste A, Indianapolis, IN 46227 2018-02-12
1962943019 Fresenius Medical Care Indiana, LLC Clinic/Center 6826 Madison Ave, Indianapolis, IN 46227 2017-03-09
1205386687 Kylie Rochelle Bontrager Dentist 3658 East Street, Indianapolis, IN 46227 2016-10-10
1013371137 Kayla Ford Occupational Therapist 3230 Rue Chanel, Apt 162, Indianapolis, IN 46227 2016-04-06
1639551344 Sara Allyn Shrivastav Technician, Other 3711 E Southport Rd, Indianapolis, IN 46227 2015-06-18
1598146565 Theodore Christian Seger Family Medicine 610 E Southport Rd Ste 205, Indianapolis, IN 46227 2015-06-15
Find all providers in zip 46227

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386244176 Mallory Lee Anslow Nurse Practitioner 10641 Deercrest Ln, Indianapolis, IN 46239-9690 2020-10-29
1922614965 Children Express Care Clinic LLC Nurse Practitioner 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 2020-09-16
1255956272 Heather Nicole Zore Nurse Practitioner 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 2020-06-15
1457976615 Adam Weir Nurse Practitioner 960 E Washington St, Indianapolis, IN 46202-3981 2020-06-13
1457975740 Ayee Teah Bleemie Nurse Practitioner 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 2020-06-02
1689294357 May Josefa Ishikawa Nurse Practitioner 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 2020-04-22
1760001200 John Shaver Nurse Practitioner 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 2020-04-14
1851931000 Robin L Petit Nurse Practitioner 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 2020-01-15
1952941577 Andreya Beckett Nurse Practitioner 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 2020-01-11
1053950105 Shannon Malecki Nurse Practitioner 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 2020-01-06
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46227

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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