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NPI Code Detail

MEDICARE: GRACE JAMILLIA RUSHWIN

MEDICARE: GRACE JAMILLIA RUSHWIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantTX

General Provider Information

NPI Number : 1538011366
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE JAMILLIA RUSHWIN
Provider Business Mailing Address
First Line : 5965 HALEY WAY
Second Line :
City : FRISCO
State : TX
Zip : 75034-4879
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5900 ALTAMESA BLVD STE 100
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-5475
Country : US
Telephone Number : 817-854-9969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2026
Last Update Date : 02/12/2026

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Directions to “ GRACE JAMILLIA RUSHWIN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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