Ruiz Balderrama, Jessica

Ruiz Balderrama, Jessica is an individual health care provider with primary practice located at 5801 W Wadley Ave , Midland TX 79707-5055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ruiz Balderrama, Jessica can be contacted via phone (432) 699-2636.

Contact Information

Primary practice address
5801 W Wadley Ave Midland TX 79707-5055
Phone: (432) 699-2636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1001745 Texas

Profile Details

NPI number 1902506512
LBN Legal business name Ruiz Balderrama, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2023
Last updated Mar 3rd, 2023 - 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 1902506512 NPPES
Texas Other 1001745 TEXAS BOARD OF NURSING APRN-CNP LICENSE NUMBER
Texas Other 47598 TEXAS BOARD OF NURSING APRN-CNP LICENSE NUMBER

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