Individual
JESSICA ROSE RUTKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6454 ROUTE 405 HWY, MUNCY, PA 17756-6388
(570) 546-7009
Mailing address
645 N 12TH ST STE 101, LEMOYNE, PA 17043-1219
(570) 417-9985
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP019245
PA
Other
Enumeration date
09/12/2018
Last updated
08/18/2019
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