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Individual
KRISTY LYNN RUCKER
Active
Individual
KRISTY LYNN RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., M.S.N., F.N.P,
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28559
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#9220
NP FURNISHING LICENSE #
CA
01
—
471268
RN LICENSE #
CA
01
—
F0816720
AMERICAN ACADEMY OF NURSE PRACTITIONERS
CA
Enumeration date
12/06/2005
Last updated
12/18/2020
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