Individual
JONATHAN RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8211
(904) 202-2000
Mailing address
1355 RIVER LANDING WAY, BLACKSHEAR, GA 31516-9335
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN312124
GA
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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