Individual
MS. JACQUELINE SUZANNE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5192 BAYOU BLVD, PENSACOLA, FL 32503-2102
(850) 484-5040
(850) 475-5507
Mailing address
5192 BAYOU BLVD, PENSACOLA, FL 32503-2102
(850) 484-5040
(850) 475-5507
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
9253483
FL
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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