Individual
JILL RUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(000) 000-0000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
103106
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191867
BLUE CROSS OF MO
—
05
—
426014916
—
MO
Enumeration date
09/25/2006
Last updated
02/02/2024
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