Individual
JERMONTE RUSSELL RUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW/CHW
Contact information
Practice address
205 E OSBORN RD, PHOENIX, AZ 85012-2327
(602) 556-6229
Mailing address
205 E OSBORN RD, PHOENIX, AZ 85012-2327
(602) 556-6229
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
261QC1500X
Community Health Clinic/Center
Primary
CHW0000000856
AZ
Other
Enumeration date
08/21/2023
Last updated
03/24/2026
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