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NPI Code Detail

MEDICARE: KESHA RUSSAW RUSHING FNP

MEDICARE: KESHA RUSSAW RUSHING FNP
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
1363LF0000XFamily Nurse PractitionerAPN0000007930TN

General Provider Information

NPI Number : 1710086772
Entity Type Code : Individual
Provider Name (Legal Business Name) : KESHA RUSSAW RUSHING FNP
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number : 615-936-2000
Fax Number :
Provider Business Practice Location Address
First Line : 4761 ANDREW JACKSON PKWY
Second Line : SUITE 108
City : HERMITAGE
State : TN
Zip : 37076-1354
Country : US
Telephone Number : 615-889-9906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 03/16/2022

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Directions to “ KESHA RUSSAW RUSHING FNP” Practice Location

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