Organization
SYMATREE LLC
Active
Other names
Symatree LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY ANN RUSHING APRN (NURSE PRACTITIONER)
(217) 904-3035
Entity
Organization
Contact information
Practice address
411 DEVONSHIRE DR, CHAMPAIGN, IL 61820-7286
(217) 714-8912
Mailing address
495 DEVONSHIRE DR, CHAMPAIGN, IL 61820-7295
(217) 904-3035
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F400103582
—
IL
Enumeration date
12/07/2022
Last updated
03/23/2023
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