Rutter, Tabitha Jane

Rutter, Tabitha Jane is an individual health care provider with primary practice located at 1150 Red John Dr , Daytona Beach FL 32124-1016. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Rutter, Tabitha Jane can be contacted via phone (800) 539-4228.

Contact Information

Primary practice address
1150 Red John Dr Daytona Beach FL 32124-1016
Phone: (800) 539-4228
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9311696 Florida
Nursing Service Providers / Registered Nurse 163W00000X RN9311696 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9311696 Florida

Profile Details

NPI number 1881942233
LBN Legal business name Rutter, Tabitha Jane
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2012
Last updated Jul 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881942233 NPPES
Florida MEDICAID 013885000

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