Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phil Rutledge

Individual provider Infusion Therapy Registered Nurse · NPI 1104780279

Phil Rutledge is an Infusion Therapy Registered Nurse in Jefferson City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2025

Practice location Address checks out

5402 Bus 50 W Unit 1
Jefferson City, MO 65109
Phone: (573) 284-1776
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infusion Therapy Registered Nurse (primary) Taxonomy 163WI0500X · Licence 2020027391 (MO)

Record details

NPI number1104780279
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 12, 2025
Last updated in NPPESDecember 12, 2025
Certification dateDecember 11, 2025