Individual provider · Type 1 NPI
Jillissa Rush, CPNP
Pediatric Nurse Practitioner · Kansas City, MO
NPI number
1962865543
Active
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2016005842 (MO) |
| Pediatric Nurse Practitioner | 363LP0200X | 77173 (KS) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1962865543
Jillissa Rush, CPNP's National Provider Identifier is 1962865543, issued on Apr 1, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kansas City, MO. The record was last updated on Apr 1, 2016.