Individual
MRS. JESSICA LOUANN RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3522 NORMAN DR, JOPLIN, MO 64804-4057
(620) 687-2424
Mailing address
3522 NORMAN DR, JOPLIN, MO 64804-4057
(620) 687-2424
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2010001472
MO
Other
Enumeration date
01/15/2010
Last updated
10/01/2010
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