Provider Demographics
NPI:1881574267
Name:RUSHING, JEAN ANN (FNP-BC)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:ANN
Last Name:RUSHING
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24891 GRINDSTONE RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:MO
Mailing Address - Zip Code:65536-6411
Mailing Address - Country:US
Mailing Address - Phone:417-594-1853
Mailing Address - Fax:
Practice Address - Street 1:24891 GRINDSTONE RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:MO
Practice Address - Zip Code:65536-6411
Practice Address - Country:US
Practice Address - Phone:417-594-1853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025038287363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily