Individual
MRS. JENNIFER L RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1108 VESTER AVE, SPRINGFIELD, OH 45503-1302
(937) 399-7100
(937) 399-7355
Mailing address
1108 VESTER AVE, SPRINGFIELD, OH 45503-1302
(937) 399-7100
(937) 399-7355
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRNCNP15384
OH
Other
Enumeration date
08/25/2014
Last updated
04/28/2021
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