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1881942233

NPI Code Detail

MEDICARE: TABITHA JANE RUTTER ARNP

MEDICARE: TABITHA JANE RUTTER ARNP

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	363LP2300X	Primary Care Nurse Practitioner	APRN11008051	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP61618271	WA
3	163W00000X	Registered Nurse	RN9311696	FL
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11008051	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881942233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TABITHA JANE RUTTER ARNP

Provider Business Mailing Address
First Line	:	150 MAGNOLIA AVE
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32114-4304
Country	:	US
Telephone Number	:	386-236-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 SW ARCHER RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-1197
Country	:	US
Telephone Number	:	352-548-6000
Fax Number	:

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

Provider Enumeration Date	:	08/16/2012
Last Update Date	:	02/27/2026

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Directions to “ TABITHA JANE RUTTER ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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