Individual provider · Type 1 NPI

Carrie L. Rutledge, FNP

Nurse Practitioner · Sullivan, MO

NPI number 1992183511 Active

Practice location

965 Mattox Dr
Sullivan, MO 63080-2365

Fax (573) 860-6016

Mailing address

PO Box 959318
St. Louis, MO 63195-9318

Other practice locations

  • 608 Old Route 66, St. Robert, MO 65584-3730 · (573) 336-5100

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2015007302 (MO)
Family Nurse Practitioner 363LF0000X2015007302 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1992183511

Carrie L. Rutledge, FNP's National Provider Identifier is 1992183511, issued on May 14, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sullivan, MO. The record was last updated on Oct 15, 2026.