Bush, Nichelle M

Bush, Nichelle M is an individual health care provider with primary practice located at 12935 Gregory St , Blue Island IL 60406-2428. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bush, Nichelle M can be contacted via phone (708) 597-2000.

Contact Information

Primary practice address
12935 Gregory St Blue Island IL 60406-2428
Phone: (708) 597-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 2817956A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71005467A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209012827 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209012827 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005467A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209012827 Illinois

Profile Details

NPI number 1447647110
LBN Legal business name Bush, Nichelle M
Credentials APRN FNP CEN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2015
Last updated Oct 6th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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