Provider Demographics
NPI:1083200661
Name:RUSHING, LINDA (MPH, PMHNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:RUSHING
Suffix:
Gender:F
Credentials:MPH, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5034 PRESTWICK DR
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-3793
Mailing Address - Country:US
Mailing Address - Phone:408-309-6885
Mailing Address - Fax:
Practice Address - Street 1:400 30TH ST STE 407
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3321
Practice Address - Country:US
Practice Address - Phone:415-735-6453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11031666363LP0808X
CA95029385363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health