JACQUELINE ROSEANN BUSHELL (NPI# 1760082119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760082119 |
| Entity Type | Individual |
| Full Name | JACQUELINE ROSEANN BUSHELL |
| Credential | RN |
| Practice Address |
1245 Riverloch Way Lawrenceville GA 30043-4488 |
| Practice Telephone | 6788636859 |
| Mailing Telephone | 6788636859 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN177666 | GA | Nursing Service Providers |
| Street Address |
1245 RIVERLOCH WAY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30043-4488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
| 1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
| 1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
| 1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
| 1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
| 1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
| Find all providers in zip 30043 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811268196 | Pamela None Moore-woodward | Registered Nurse | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2012-01-19 |
| 1144336728 | Darquita Mccolumn | Registered Nurse | 1970 Riverside Pkwy, Lawrenceville, GA 30043-5937 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665167 | Terri L Watkins | Registered Nurse | 2102 Cobblestone Blvd, Stockbridge, GA 30281-7328 | 2020-06-27 |
| 1376172528 | Kelli Tesler | Registered Nurse | 5505 Peachtree Dunwoody Rd Ste 200, Atlanta, GA 30342-1749 | 2020-04-08 |
| 1902435381 | Shaundra Renee Foree | Registered Nurse | 1730 Silver Way, Lithia Springs, GA 30122-3956 | 2020-04-07 |
| 1932735149 | Bhanmattie Anupa Motee | Registered Nurse | 1712 Castle Ct, Riverdale, GA 30296-2946 | 2020-03-19 |
| 1568097723 | Peace At Last Private Home Care LLC. | Registered Nurse | 5596 Mayfair Crossing Dr, Lithonia, GA 30038-1182 | 2020-03-09 |
| 1649812298 | Princess Mary Ibekwe-onwueme | Registered Nurse | 4875 China Berry Dr, Powder Springs, GA 30127-5661 | 2019-10-15 |
| 1184288730 | Allyson Blue | Registered Nurse | 7870 Waterlace Dr, Fairburn, GA 30213-4647 | 2019-04-30 |
| 1093270852 | Ivy R Harper | Registered Nurse | 3017 Katherine Valley Rd, Decatur, GA 30032-5826 | 2019-02-06 |
| 1699242990 | Ericka Francis | Registered Nurse | 2636 Martin Luther King Jr Dr Sw Ste 12&22, Atlanta, GA 30311-1634 | 2018-10-25 |
| 1366926461 | Ashlee Chaney | Registered Nurse | 5749 Radford Loop, Fairburn, GA 30213-5518 | 2018-09-24 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30043 |
Please comment or provide details below to improve the information on JACQUELINE ROSEANN BUSHELL.
| 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.