Provider Demographics
NPI:1942894464
Name:RUSHING, RHONDA TERESE (PMHNPBC)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:TERESE
Last Name:RUSHING
Suffix:
Gender:F
Credentials:PMHNPBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 STUBBS AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5627
Mailing Address - Country:US
Mailing Address - Phone:318-816-5116
Mailing Address - Fax:318-855-3429
Practice Address - Street 1:1501 STUBBS AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5627
Practice Address - Country:US
Practice Address - Phone:318-816-5116
Practice Address - Fax:318-855-3429
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA218586363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health