Individual
JACQUELINE ANNE RUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1 VETERANS DR, 111J, MINNEAPOLIS, MN 55417-2309
(612) 467-3218
(612) 727-5640
Mailing address
3180 JURDY CT N, EAGAN, MN 55121-2105
(651) 452-6733
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R-120354-7
MN
Other
Enumeration date
09/25/2006
Last updated
07/21/2022
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