Individual
JACQUELINE RUSHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, DNP, CRNA
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(541) 660-8141
Mailing address
400 W RIVER WOODS PKWY FL 3, GLENDALE, WI 53212-1060
(541) 660-8141
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11980-33
WI
367500000X
Certified Registered Nurse Anesthetist
201604923CRNA-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100205237
—
WI
Enumeration date
08/03/2015
Last updated
01/13/2025
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