Doctor Name: | MS. FRANCES L HENRY-BUSH |
NPI Number: | 1245534577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 85858-2 |
Business Practice Address: | 501 S Bolivar St Chattahoochee, FL - 323241347 |
Business Phone Number: | 8506634374 |
Business Fax Number: | |
Mailing Address: | 221 Ernest St, QUINCY |
State: | FL |
Postal Code: | 323513222 |
Phone Number: | 8508754089 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2010 |
NPI Last Update Date: | 12/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 85858-2 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |