Healthcare Provider Details

I. General information

NPI: 1427411164
Provider Name (Legal Business Name): JESSICA RUSH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2016
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 PLEASANT ST
CONCORD NH
03301-2548
US

IV. Provider business mailing address

250 PLEASANT ST
CONCORD NH
03301-2598
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-4003
  • Fax: 603-227-7526
Mailing address:
  • Phone: 603-227-7000
  • Fax: 603-227-7000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number21904
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: