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

Michele Bustard, APN

Individual provider Family Nurse Practitioner · NPI 1720591902

Michele Bustard, APN is a Nurse Practitioner in Mullica Hill, New Jersey. Qualified in 2017, 9 years ago. Practices with Fernandes Banerjee Shenoy Kidney Center, LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

5 Myers Dr Unit 104
Mullica Hill, NJ 08062
Phone: (856) 431-6300
Fax: (856) 431-6310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00770500 (NJ)

Record details

NPI number1720591902
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedNovember 10, 2017
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address5 Myers Drive, Unit 104, Mullica Hill, NJ 08062

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fernandes Banerjee Shenoy Kidney Center,Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mullica Hill