MRS. JENNIFER RUSH


Address: 1745 Wollacott St, Redondo Beach, CA 90278-2835
Phone: 3106000795

MRS. JENNIFER RUSH (NPI# 1144525015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144525015
Entity Type Individual
Full Name MRS. JENNIFER RUSH
Credential RN, MSN, ACNP-BC
Practice Address 1745 Wollacott St
Redondo Beach
CA 90278-2835
Practice Telephone 3106000795
Mailing Telephone 3106000795
Enumeration Date 2011-01-24
Last Update Date 2011-01-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
20272 CA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 1745 WOLLACOTT ST
City REDONDO BEACH
State CA
Zip Code 90278-2835

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NPI Name Taxonomy Address Enumeration
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1902147978 Nancy A Livingston Nurse Practitioner 100 Medical Plaza Suite 630 East, Los Angeles, CA 90278 2013-03-15
1437460599 Su Jin Feuer Social Worker 2113 Vanderbilt Ln Unit C, Redondo Beach, CA 90278 2010-06-23
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1730233628 Kenneth D Ochi Dentist 1444 Aviation Blvd, Suite # 201, Redondo Beach, CA 90278 2007-01-22
1609935675 Allen Joseph Selner Podiatrist 2850 Artesia Boulevard, Suite 204, Redondo Beach, CA 90278 2006-12-06
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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Competitor

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City REDONDO BEACH
Zip Code 90278

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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