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NPI Code Detail

MEDICARE: JAMIE RUSHFORD MSN, APRN, PMHNP-BC

MEDICARE: JAMIE RUSHFORD MSN, APRN, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0996781-NPCO

General Provider Information

NPI Number : 1992114284
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE RUSHFORD MSN, APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 2925 PROFESSIONAL PL STE 101
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-8125
Country : US
Telephone Number : 719-776-6850
Fax Number : 719-776-6855
Provider Business Practice Location Address
First Line : 2925 PROFESSIONAL PL STE 101
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-8125
Country : US
Telephone Number : 719-776-6850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2014
Last Update Date : 01/18/2026

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