Individual
GABRIELLE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 S TYLER ST STE 200, COVINGTON, LA 70433-2353
(985) 892-9143
(985) 892-9656
Mailing address
PO BOX 669379, DALLAS, TX 75266-9379
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19961
SC
363LF0000X
Family Nurse Practitioner
Primary
207538
LA
Other
Enumeration date
06/28/2016
Last updated
02/05/2026
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