Wilma J Bush , LPN
Licensed Practical Nurse • Palatka, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wilma Bush has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Wilma Bush, LPN was a registered Licensed Practical Nurse practicing in Palatka, FL. Throughout an active medical career spanning 9 years, Wilma Bush provided care at the practice location at 330 KAY LARKIN DRIVE until profile deactivation on 2017-05-31.
Practice Location & Contact Primary Location
330 Kay Larkin Drive
Palatka, FL 32177
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Palatka, FL
Practicing in Palatka, FL (1995 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Mental Health
MHSCRCCCT
Licensed Practical Nurse
Licensed Practical Nurse
Counselor - Mental Health
Licensed Mental Health Counselor
Nurse Practitioner - Psychiatric/Mental Health
ARNPRNCSMSN
Counselor - Mental Health
Counselor - Mental Health
Licensed Mental Health Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 31, 2017
NPI status registered as active in NPPES database
Registered at 330 KAY LARKIN DRIVE, PALATKA, FL 32177 (Tel: 3863293780)
Registered at 330 KAY LARKIN DRIVE, PALATKA, FL 32177 (Tel: 3863293780)
Recorded as WILMA BUSH, LPN
Licensed Practical Nurse (License #PN5146647 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
330 Kay Larkin Drive
Palatka, FL 32177
Phone: 3863293780
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