Individual provider · Type 1 NPI

Jonathan Howell Rutherford, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Sierra Vista, AZ

NPI number 1154091932 Active

Practice location

155 Calle Portal Ste 300
Sierra Vista, AZ 85635-2900

Fax (520) 364-4261

Mailing address

1205 N F Ave
Douglas, AZ 85607-1920

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X260129 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1154091932

Jonathan Howell Rutherford, PMHNP's National Provider Identifier is 1154091932, issued on Sep 14, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Sierra Vista, AZ. The record was last updated on Feb 10, 2022.