Provider Demographics
NPI:1487036273
Name:BUSSEN, JOYE ROCHELLE (LPN)
Entity Type:Individual
Prefix:
First Name:JOYE
Middle Name:ROCHELLE
Last Name:BUSSEN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7417 KINGSTON PIKE STE 101
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5616
Mailing Address - Country:US
Mailing Address - Phone:865-584-4112
Mailing Address - Fax:865-588-8140
Practice Address - Street 1:7417 KINGSTON PIKE STE 101
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5616
Practice Address - Country:US
Practice Address - Phone:865-584-4112
Practice Address - Fax:865-588-8140
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPN53786164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse