Tara Jo Rudisill, PA-C

NPI #1982971719 in Richmond, Virginia

Provider Information

NPI Number: 1982971719
Entity Type: Individual
Name: Tara Jo Rudisill, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 22, 2011
Last Updated: Jan 19, 2026

Practice Location

Address: 417 N 11TH ST
Address 2: SIXTH FLOOR
City: Richmond
State: Virginia
ZIP Code: 23298-5002
Phone: (804) 828-9165

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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