Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deja Icelyn Bush

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104659077

Deja Icelyn Bush is a Student in an Organized Health Care Education/Training Program in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

3640 Colonel Glenn Hwy
Dayton, OH 45435-0001
Phone: (937) 775-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (OH)

Record details

NPI number1104659077
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2024
Last updated in NPPESSeptember 14, 2024
Certification dateSeptember 14, 2024
Mailing address3640 Colonel Glenn Hwy, Dayton, OH 45435-0001

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