JESSICA FLANAGAN BUSHY


Address: 3615 Jack Northrop Avenue, Suite 100, Hawthorne, CA 90250
Phone: 3103001051

JESSICA FLANAGAN BUSHY (NPI# 1992137046) 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) 1992137046
Entity Type Individual
Full Name JESSICA FLANAGAN BUSHY
Credential FNP
Practice Address 3615 Jack Northrop Avenue
Suite 100
Hawthorne
CA 90250
Mailing Address 1 Embarcadero Ctr Ste 1900
San Francisco
CA 94111-3723
Practice Telephone 3103001051
Practice Fax Number 3103001052
Mailing Telephone 4156586791
Mailing Fax Number 4155200904
Enumeration Date 2013-07-31
Last Update Date 2020-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
23388 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
60749070 NY Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
60749070 WA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1600 7th Ave Ste 110, Seattle, WA 981012284 2062674390 2062674391
3615 Jack Northrop Avenue, Suite 100, Hawthorne, CA 90250 3103001051 3103001052
8570 W Sunset Blvd, Los Angeles, CA 900692359 3105002041

Office Location

Street Address 3615 JACK NORTHROP AVENUE
SUITE 100
City HAWTHORNE
State CA
Zip Code 90250

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NPI Name Taxonomy Address Enumeration
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1356829261 Karneth Health Inc Internal Medicine 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 2018-08-02
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1235636044 Sonia Medical Center Inc Clinic/Center 4512 W Imperial Hwy, Hawthorne, CA 90250 2018-04-09
1518484807 Jessica Anne-marie Auzenne-harris Nurse Practitioner 12618 Hawthorne Blvd, Hawthorne, CA 90250 2017-08-28
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1588194534 Marissam Medical Inc. Durable Medical Equipment & Medical Supplies 13508 Inglewood Ave, Hawthorne, CA 90250 2017-06-13
1043751886 Ogbonna Iwuamadi Olelewe Nurse Practitioner 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 2017-03-13
1952758898 La Shada Kai Martin Contractor 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 2016-05-20
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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
1790386472 Andries Van Der Meer Nurse Practitioner 5 Emeline Dr, Hawthorne, NJ 07506-3061 2020-11-08
1093359192 Amanda L Stowell Nurse Practitioner 4866 W 137th St, Hawthorne, CA 90250-6525 2019-10-31
1467008441 Elizabeth Temitope Oluwole Nurse Practitioner 11823 Chanera Ave, Hawthorne, CA 90250-1825 2019-08-14
1063079234 Jimmy Cruza Nurse Practitioner 2 S Maine Ave Bldg 102-54, Hawthorne, NV 89415-9404 2019-05-23
1033689344 Gillian Louissaint Nurse Practitioner 112 Willow St, Hawthorne, FL 32640-5413 2018-11-29
1164936746 Harmony Day Payzant Nurse Practitioner 13753 Cordary Ave, Hawthorne, CA 90250-7410 2017-11-19
1376056630 Abiola Orkeh Nurse Practitioner 11725 Daleside Ave, Hawthorne, CA 90250-1924 2017-11-09
1548708852 Christina Sauro Nurse Practitioner 7 N 16th St, Hawthorne, NJ 07506-3709 2017-02-07
1497202337 Francesca Mephors Nurse Practitioner 13936 Lemoli Ave, Hawthorne, CA 90250-8854 2016-09-08
1881053593 Ifeoma Stella Nweke Nurse Practitioner 11830 Acacia Ave Apt 1, Hawthorne, CA 90250-3000 2016-02-23
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Competitor

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City HAWTHORNE
Zip Code 90250

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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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