Individual
KATIE DALEY RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1014 ROSE ST., STE. A, PRENTISS, MS 39474
(601) 792-1223
(601) 651-6076
Mailing address
1014 ROSE ST., STE. A, PRENTISS, MS 39474
(601) 792-1223
(601) 651-6076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R873357
MS
Other
Enumeration date
01/07/2015
Last updated
01/19/2016
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