Individual
MRS. JESSICA LEA RUDICIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
33192 SWALLOW DR, ROCKWOOD, MI 48173-1189
(734) 558-3115
Mailing address
33192 SWALLOW DR, ROCKWOOD, MI 48173-1189
(734) 558-3115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704282947
MI
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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