| Doctor Name: | MICHELLE L RUSH |
| NPI Number: | 1003006396 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, APRN, BC |
| License Number: | APN0000012137 |
| Business Practice Address: | 333 S Bellevue Blvd Memphis, TN - 381043534 |
| Business Phone Number: | 9017292708 |
| Business Fax Number: | 9017292720 |
| Mailing Address: | Po Box 1000, Dept 252 MEMPHIS |
| State: | TN |
| Postal Code: | 381480001 |
| Phone Number: | 9017292708 |
| Fax Number: | 9017292720 |
| NPI Enumeration Date: | 08/01/2007 |
| NPI Last Update Date: | 08/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN0000012137 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |