Individual
JACQUELINE RUGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3074 WHITNEY AVE, BUILDING 1; 2ND FLOOR, HAMDEN, CT 06518-2391
(203) 287-2400
(203) 453-9684
Mailing address
3074 WHITNEY AVE, BUILDING 1; 2ND FLOOR, HAMDEN, CT 06518-2391
(203) 287-2400
(203) 453-9684
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
000077
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163026
VALUE OPTIONS
CT
01
—
187096
MHN
CT
01
—
400000077CT-02
BLUE CROSS BLUE SHIELD
CT
01
—
P2743620
OXFORD
CT
Enumeration date
07/19/2006
Last updated
07/23/2014
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