Individual
JENNY WALTZ RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
146 E HOSPITAL DR STE 240, WEST COLUMBIA, SC 29169-4800
(803) 936-7590
(803) 936-7589
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 936-7590
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
209197
SC
363LW0102X
Women's Health Nurse Practitioner
22972
SC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
22972
SC
Other
Enumeration date
03/21/2019
Last updated
01/15/2024
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