JESSICA WYNNE RUSH (NPI# 1003454885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003454885 |
| Entity Type | Individual |
| Full Name | JESSICA WYNNE RUSH |
| Practice Address |
17160 Williamsville Rd Kosciusko MS 39090-9224 |
| Practice Telephone | 6625823677 |
| Mailing Telephone | 6625823677 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 740464116226 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427411164 | Jessica Rush | Student in an Organized Health Care Education/Training Program | 90 Merrivale Rd, Great Neck, NY 11020-1818 | 2016-03-31 |
| 1922306679 | Jessica Mary Rush | Physical Therapist | 105 Winkler Dr, Tonawanda, NY 14150-6135 | 2011-03-04 |
| 1851622849 | Jessica Louann Rush | Nurse Anesthetist, Certified Registered | 3522 Norman Dr, Joplin, MO 64804-4057 | 2010-01-15 |
| 1639396831 | Jessica L Rush | Speech-Language Pathologist | 5945 Pacific Center Blvd Ste 510, San Diego, CA 92121-6305 | 2007-04-19 |
| 1730666330 | Jessica Rush | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-07-26 |
| 1497100879 | Jessica Rush | Counselor | 222 Marion Ave, Mansfield, OH 44903-2138 | 2016-05-04 |
| 1265746390 | Jessica Rush | Counselor | 10929 South St, Ste. 208b, Cerritos, CA 90703-5340 | 2010-07-30 |
| 1770715914 | Jessica Anne Rush | Physician Assistant | 2545 Schoenersville Rd, Bethlehem, PA 18017-7300 | 2009-08-21 |
| Street Address |
17160 WILLIAMSVILLE RD |
| City | KOSCIUSKO |
| State | MS |
| Zip Code | 39090-9224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371675 | Caroline Boydstun Fair | Pharmacist | 109 Northside Center, Kosciusko, MS 39090 | 2017-12-11 |
| 1275069643 | Sharhonda Wingo | Speech-Language Pathologist | 2447 Attala Road 2203, Kosciusko, MS 39090 | 2017-05-04 |
| 1013392034 | Leap of Faith LLC | Respite Care | 115 North Wells Street, Suite A, Kosciusko, MS 39090 | 2015-07-21 |
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1528402484 | Warner Martin Myers I | Student in an Organized Health Care Education/Training Program | 912 Hwy 12 East, Kosciusko, MS 39090 | 2013-04-23 |
| 1891022547 | Medical Foundation of Central Mississippi | Internal Medicine | 329 Highway 12 West, Koscuisko, MS 39090 | 2009-11-17 |
| 1255512448 | Cheryl L Bayne | Adult Companion | 509 Hillview Dr, Kosciusko, MS 39090 | 2007-11-16 |
| 1760673982 | Gary A Cochran | Technician/Technologist | 118 West North St, Kosciusko, MS 39090 | 2007-08-05 |
| 1639396393 | Stephen C Hammack | Family Medicine | 332 Highway 12 West, Kosciusko, MS 39090 | 2007-04-20 |
| 1740329689 | Brenda Nail | Nurse Practitioner | 999 Martin Luther King Drive, Kosciusko, MS 39090 | 2007-02-06 |
| Find all providers in zip 39090 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
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| 1316559966 | Royeisha Deshawn Walker | Technician | 3635 Hancock St, Jackson, MS 39213-5803 | 2020-08-17 |
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1245855790 | Hayley Caughman | Technician | 902 Stratford Ln, Amory, MS 38821-2009 | 2020-06-10 |
| 1033733738 | John Flowers | Technician | 4417 27th St, Meridian, MS 39307-4272 | 2020-05-29 |
| 1689297731 | Judy Johnson Stuart | Technician | 169 Robinhood Trl, Brandon, MS 39042-9456 | 2020-05-23 |
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1407481500 | Jannie M. King | Technician | 158 Waco Road, Inverness, MS 38753 | 2020-03-09 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.