Individual
MRS. JENNIFER C RUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
307 S MAIN ST, KIRKLIN, IN 46050-9735
(317) 840-3697
Mailing address
PO BOX 271, KIRKLIN, IN 46050-0271
(317) 840-3697
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28205652A
IN
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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