Most Relevant Information
Provider Data
| NPI Number: | 1003006396 |
| Provider Name: | MICHELLE L RUSH MSN, APRN, BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APN0000012137 |
Most Important Dates
| Enumeration Date: | 08/01/2007 |
| Last Updated: | 10/26/2022 |
Provider Practice Location
880 MADISON AVE
MEMPHIS
TN
381033409
Practice Location Phone/Fax
| Phone: | 9015456969 |
| Fax: | 9015451711 |
Provider Mailing Location
PO BOX 1000
DEPT 252
MEMPHIS
TN
381480001
Provider Mailing Phone/Fax
| Phone: | 9017292708 |
| Fax: | 9017292720 |