Healthcare Provider Details

I. General information

NPI: 1881598381
Provider Name (Legal Business Name): NOLEN BRENT BUSSEY-CAMACHO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 PINE ST
ABILENE TX
79601-2432
US

IV. Provider business mailing address

1900 PINE ST
ABILENE TX
79601-2432
US

V. Phone/Fax

Practice location:
  • Phone: 325-670-2151
  • Fax:
Mailing address:
  • Phone: 325-670-2151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1250700
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: