person
Jonathan Howell Rutherford, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Sierra Vista, Arizona
NPI 1154091932

Jonathan Howell Rutherford is a Psychiatric/Mental Health Nurse Practitioner based in Douglas, AZ and is specialized in Psychiatric/Mental Health. Jonathan Howell Rutherford practices in Sierra Vista, AZ and has the professional credentials of PMHNP. The NPI Number for Jonathan Howell Rutherford is 1154091932 and holds a License No. 260129 (Arizona).

The current practice location address for Jonathan Howell Rutherford is 155 Calle Portal Ste 300, Sierra Vista, AZ and can be reached out via phone at 520-459-3011 and via fax at 520-364-4261.

Location: 155 Calle Portal Ste 300, Sierra Vista, AZ, 85607-1920
person
Provider Profile Details
NPI Number
1154091932
Provider Name
Jonathan Howell Rutherford
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
155 Calle Portal Ste 300, Sierra Vista, AZ, 85607-1920
Phone Number
520-459-3011
Fax Number
520-364-4261
Provider Enumeration Date
09/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
106788 05 AZ
institution
Provider Business Practice Location Address Details
Address
155 Calle Portal Ste 300
City
State
Zip
85635-2900
Phone Number
520-459-3011
Fax Number
520-364-4261
person
Provider Business Mailing Address Details
Address
155 Calle Portal Ste 300
City
State
Zip
85635-2900
Phone Number
520-459-3011
Fax Number
520-364-4261
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
260129 (Arizona)
Definition
Definition to come...
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