Individual
JENIFER RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1414 WESTHAVEN BLVD, FRANKLIN, TN 37064-4879
(615) 557-3902
Mailing address
1414 WESTHAVEN BLVD, FRANKLIN, TN 37064-4879
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1936
TN
235Z00000X
Speech-Language Pathologist
22005533A
IN
235Z00000X
Speech-Language Pathologist
SLP006540
GA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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