Individual
MR. JASON RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
PO BOX 52, SPENCER, OK 73084-0052
(405) 501-8424
Mailing address
PO BOX 52, SPENCER, OK 73084-0052
(405) 501-8424
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R0095226
OK
Other
Enumeration date
09/26/2012
Last updated
07/17/2025
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