MEDICARE: JULIE RUSK RN

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	67651	NE

General Provider Information

NPI Number	:	1699627976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE RUSK RN

Provider Business Mailing Address
First Line	:	703 FERGUSON DR
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-2306
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	703 FERGUSON DR
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-2306
Country	:	US
Telephone Number	:	402-841-1718
Fax Number	:

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

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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