MEDICARE: MS. JENNIFER A RUTTER RN, RHIA

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
1	163W00000X	Registered Nurse	80191-030	WI
2	246YR1600X	Registered Record Administrator	0476220

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245224260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER A RUTTER RN, RHIA

Provider Business Mailing Address
First Line	:	3210 N 79TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-3933
Country	:	US
Telephone Number	:	414-449-2319
Fax Number	:

Provider Business Practice Location Address
First Line	:	3210 N 79TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-3933
Country	:	US
Telephone Number	:	414-449-2319
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	09/11/2025

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