JACQUELINE ANNE RUST APRN BC NPI 1942300025

NPI Information

NPI: 1942300025
Provider Name: JACQUELINE ANNE RUST, APRN, BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1 VETERANS DR
111J
MINNEAPOLIS, MN
ZIP 55417
Phone: (612) 467-3218
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Jacqueline Anne Rust, APRN, BC is a gerontology nurse practitioner in Minneapolis, MN. Jacqueline Anne Rust, APRN, BC NPI is 1942300025. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 VETERANS DR
111J
MINNEAPOLIS, MN
ZIP 55417-309
Phone: (612) 467-3218
Fax: (612) 727-5640

The NPI 1942300025 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	R-120354-7	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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