Individual
SAMANTHA JO RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W 2ND ST, LAWRENCE, KS 66044-1426
(785) 843-9192
Mailing address
4712 MUIRFIELD DR, LAWRENCE, KS 66047-1820
(785) 979-8212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-82666-101
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5382666101
KS
Other
Enumeration date
10/06/2023
Last updated
03/30/2026
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