Individual
JACQUELINE ANNE RUCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-5387
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-5387
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
217289
MA
Other
Enumeration date
03/01/2007
Last updated
03/24/2016
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