Individual
JEAN LAUREL RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(708) 337-0487
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(708) 337-0487
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209-003893
IL
Other
Enumeration date
06/14/2005
Last updated
12/16/2014
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