# REVITALIZE HEALTH SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811846678
- **Authorized official:** MRS. JENNIFER RUCKER FNP-C (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (816) 935-6072

## Contact information

- **Practice address:** 529 SE 2ND ST, LEES SUMMIT, MO 64063-2694
- **Practice address phone:** (816) 935-6072
- **Mailing address:** 100 SE MORELAND SCHOOL RD, BLUE SPRINGS, MO 64014-5037
- **Mailing address phone:** (816) 935-6072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2026
- **Last updated:** 01/26/2026