Provider Demographics
NPI:1922776152
Name:RUSHING, DEBORAH S (FNP-C)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:S
Last Name:RUSHING
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D. RUSHING
Mailing Address - Street 2:4241 PETREY HWY
Mailing Address - City:LUVERNE
Mailing Address - State:AL
Mailing Address - Zip Code:36049
Mailing Address - Country:US
Mailing Address - Phone:334-429-0761
Mailing Address - Fax:
Practice Address - Street 1:101 HUNTERS MOUNTAIN PKWY
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36079-5895
Practice Address - Country:US
Practice Address - Phone:334-456-7056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-053844363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily