Doctor Name: | MRS. STEPHANIE S RUSHING |
NPI Number: | 1023323342 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 1-105754 |
Business Practice Address: | 1101 Nor Tec Drive Conyers, GA - 30013 |
Business Phone Number: | 6783747514 |
Business Fax Number: | 6783747517 |
Mailing Address: | 1101 Nor Tec Drive, CONYERS |
State: | GA |
Postal Code: | 30013 |
Phone Number: | 6783747514 |
Fax Number: | 6783747517 |
NPI Enumeration Date: | 08/11/2010 |
NPI Last Update Date: | 03/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-105754 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |