Individual
DR. JENNIFER L RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
0102201777
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0102201777
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001531
SENTARA
VA
01
—
139178
BCBS
VA
05
—
1609850882
—
VA
05
—
5901860
—
NC
01
—
P00406321
RR MEDICARE
VA
Enumeration date
12/01/2005
Last updated
02/07/2014
Update your record
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