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
Mailing address5402 Bus 50 W Unit 1, Jefferson City, MO 65109