Individual ProviderJennifer Lynn Van BusselPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3901 University Blvd S, Jacksonville, FL 32216-4312(904) 858-7200(904) 641-7966PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Lynn Van Bussel does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1063692309Provider TypeIndividualFull NameVan Bussel, Jennifer LynnTitleMrs.CredentialBSC. PTGenderFemaleSole ProprietorNoEnumeration Date11/4/2007Last Updated11/4/2007Contact InformationPractice LocationPractice Address3901 University Blvd S, Jacksonville, FL 32216-4312Phone(904) 858-7200Fax(904) 858-7240Mailing LocationMailing Address10435 Midtown Pkwy Unit 129, Jacksonville, FL 32246-7463Phone(904) 641-7966FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT 23690Florida