| Doctor Name: | JENNA RAE BUSHEY |
| NPI Number: | 1316171150 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 026.0047234 |
| Business Practice Address: | 3794 E Hubbardton Rd Castleton, VT - 057359756 |
| Business Phone Number: | 8029896731 |
| Business Fax Number: | |
| Mailing Address: | 3794 E Hubbardton Rd, CASTLETON |
| State: | VT |
| Postal Code: | 057359756 |
| Phone Number: | 8029896731 |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2009 |
| NPI Last Update Date: | 05/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 026.0047234 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |