Provider Demographics
NPI:1174338529
Name:BUSSEN, JAMIE L (RN)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:L
Last Name:BUSSEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:JAMIE
Other - Middle Name:L
Other - Last Name:BUSSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20129 WOLFS ST
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-2699
Mailing Address - Country:US
Mailing Address - Phone:402-881-1998
Mailing Address - Fax:
Practice Address - Street 1:20129 WOLFS ST
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-2699
Practice Address - Country:US
Practice Address - Phone:402-881-1998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty