Rucker, Jennifer Lynn

Rucker, Jennifer Lynn is an individual health care provider with primary practice located at 3920 W Wheatland Rd Suite 134, Dallas TX 75237-3401. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rucker, Jennifer Lynn can be contacted via phone (214) 941-3192.

Contact Information

Primary practice address
3920 W Wheatland Rd Suite 134 Dallas TX 75237-3401
Phone: (214) 941-3192
Fax: (877) 959-4622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 119713-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209010913 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 846819 Texas

Profile Details

NPI number 1205887205
LBN Legal business name Rucker, Jennifer Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2006
Last updated Mar 28th, 2024 - about 2 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 1205887205 NPPES
Wisconsin MEDICAID 39990700

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