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NPI Code Detail

MEDICARE: KATHERINE RUTLEDGE

MEDICARE: KATHERINE RUTLEDGE
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
1363L00000XNurse Practitioner3002828AL

General Provider Information

NPI Number : 1356296560
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE RUTLEDGE
Provider Business Mailing Address
First Line : 7751 BELFORT PKWY STE 120
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6921
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 810 SAINT VINCENTS DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35205-1601
Country : US
Telephone Number : 904-372-3943
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ KATHERINE RUTLEDGE ” Practice Location

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