Individual
JENNIFER B RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 778-9621
Mailing address
7150 TANZANITE PL, GRANT VALKARIA, FL 32949-8278
(423) 946-4596
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000136033
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11036018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506796
—
TN
05
—
APRN11036018
—
FL
Enumeration date
08/08/2008
Last updated
12/30/2024
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