Rutledge, Jennifer B

Rutledge, Jennifer B is an individual health care provider with primary practice located at 1000 36Th St , Vero Beach FL 32960-4862. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Rutledge, Jennifer B can be contacted via phone (772) 778-9621.

Contact Information

Primary practice address
1000 36Th St Vero Beach FL 32960-4862
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN0000136033 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN11036018 Florida

Profile Details

NPI number 1629224761
LBN Legal business name Rutledge, Jennifer B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated Dec 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629224761 NPPES
Tennessee MEDICAID 1506796
Tennessee MEDICAID APRN11036018

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