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Individual

JENNIFER RUSCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
50 S B B KING BLVD, MEMPHIS, TN 38103-2626
(901) 422-7644
Mailing address
40 S MAIN ST, STE 1300, MEMPHIS, TN 38103-5513
(901) 422-7617

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277000881
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209012912
IL
Enumeration date
09/14/2015
Last updated
03/11/2022
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