Jackie Bush is a Critical Care Medicine in Phoenix, Arizona. Jackie Bush practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Jackie Bush is 1902960438. The last update date is 2007-07-08.
Jackie Bush's current location address is 4212 N 16th St, Phoenix, Arizona. You can contact this provider via phone number 6022631511. The mailing address for Jackie Bush is 4212 N 16th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Bush |
|---|---|
| Address | 4212 N 16th St, Phoenix, Arizona |
| Phone Number | 6022631511 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1902960438 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4212 N 16th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850165319 |
| Phone Number | 6022631511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 163Wc0200X |
| Licence No | RN135732 |
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Definition: A registered nurse who cares for critically ill patients in intensive care units. |
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Post Comment/ Review Below
What is the Jackie Bush's unique identification number?
The Jackie Bush has been assigned the NPI (National Provider Identifier) Number 1902960438 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jackie Bush's physical address?
The Jackie Bush is physically located at 4212 N 16Th St, in the city of Phoenix, AZ, with the postal code 850165319.
What is Jackie Bush's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jackie Bush's area of specialization is Critical Care Medicine, and the corresponding taxonomy code that categorizes this field of practice is 163Wc0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902960438 to Jackie Bush?
The Jackie Bush received its 1902960438 assignment from the Centers for Medicare & Medicaid Services on 2006-12-20.
As of what date was the information regarding Jackie Bush, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jackie Bush, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.