Jessica Rene Bush | Memphis, TN • PECOS Search

Jessica Rene Bush

Social Worker

Behavioral Health & Social Service Providers

2298 Young Ave Unit 362, Memphis, TN 38104-5755

PECOS Enrollment

Based on the most recent information from CMS, provider Jessica Rene Bush does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1194153528
Provider Type
Individual
Full Name
Bush, Jessica Rene
Gender
Female

Sole Proprietor
Yes
Enumeration Date
10/22/2013
Last Updated
2/23/2026

Contact Information

Practice Location

2298 Young Ave Unit 362, Memphis, TN 38104-5755

(901) 425-0199

Mailing Location

2298 Young Ave Unit 362, Memphis, TN 38104-5755

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer