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Individual

JENNIFER RUCKSTUHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(419) 785-7300
(419) 785-7322
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(419) 785-7300
(419) 785-7322

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.17339
OH
363L00000X
Nurse Practitioner
COA.17339-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0137676
OH
Enumeration date
06/16/2015
Last updated
11/03/2023
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