Individual
JACQUELINE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2220 BRAKEMAN LN, THOMPSONS STATION, TN 37179-2951
(619) 208-1939
Mailing address
2220 BRAKEMAN LN, THOMPSONS STATION, TN 37179-2951
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/10/2026
Last updated
08/10/2026
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