NPI 1275627747

Gwen Bussa, CNM

Practitioner Advanced Practice Midwife Jackson, MS

Practice location

Address: 350 W Woodrow Wilson Ave, Jackson, MS 39213-7681
Phone: (601) 709-5160
Mailing address: PO Box 3437, Jackson, MS 39207-3437

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence R131530 (MS)

Other Advanced Practice Midwife providers in Mississippi →

Registry record

NPI: 1275627747
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Oct 2006
Record last updated: 7 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.