Individual
MR. JASON MICHAEL RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2605 KENTUCKY AVE STE 402, PADUCAH, KY 42003-3803
(270) 443-6472
(270) 421-6494
Mailing address
2605 KENTUCKY AVE STE 402, PADUCAH, KY 42003-3803
(270) 443-6472
(270) 421-6494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011416
KY
Other
Enumeration date
07/17/2017
Last updated
09/04/2024
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