Provider Demographics
NPI:1053398115
Name:RUSCHMAN, JENNIFER GAMM (SCM)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:GAMM
Last Name:RUSCHMAN
Suffix:
Gender:F
Credentials:SCM
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:LYNN
Other - Last Name:GAMM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SCM
Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:MLC 4006
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-0110
Mailing Address - Fax:513-636-7297
Practice Address - Street 1:3333 BURNET AVE
Practice Address - Street 2:MLC 4006
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-0110
Practice Address - Fax:513-636-7297
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS