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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKIE RUSH, LPN

Active

JACKIE RUSH, LPN is a Licensed Practical Nurse healthcare provider located in BREWSTER, New York. NPI 1518267368 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · BREWSTER, NY

Registration Details

NPI Number
1518267368
Provider Type
Individual
Gender
Female
NPI Issued
Oct 27, 2010 (15.654160825699 yrs)
Last Updated
Oct 27, 2010
License
279433-1 (NY)

Practice Information

Address
111 CLOCK TOWER COMMONS
ROUTE 22
BREWSTER, NY, 105094055
Browse NY providers · Browse ZIP 10509
Phone
8452795187
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in BREWSTER, NY

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.