| Doctor Name: | MRS. CARLA ANN RUSHING |
| NPI Number: | 1023417938 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AGACNP |
| License Number: | R875526 |
| Business Practice Address: | 4500 13th St Gulfport, MS - 395012515 |
| Business Phone Number: | 2288674000 |
| Business Fax Number: | |
| Mailing Address: | 8507 Richwood Dr., VANCLEAVE |
| State: | MS |
| Postal Code: | 39565 |
| Phone Number: | 2283271225 |
| Fax Number: | |
| NPI Enumeration Date: | 08/15/2014 |
| NPI Last Update Date: | 08/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | R875526 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |