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Individual

JENNIFER RUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2011-00546
NC
2084P0800X
Psychiatry Physician
25MA08655300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
168AA
BCBS
NC
05
5918906
NC
01
P01001577
RR MEDICARE
NC
Enumeration date
01/26/2007
Last updated
08/24/2026
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