Individual
TAYLOR JETTON RUYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, FNP-BC
Contact information
Practice address
3200 CENTER VALLEY PKWY, CENTER VALLEY, PA 18034-9519
(610) 242-0345
Mailing address
3200 CENTER VALLEY PKWY, CENTER VALLEY, PA 18034-9519
(610) 242-0345
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
29989
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
SP028374
PA
363LF0000X
Family Nurse Practitioner
29989
TN
Other
Enumeration date
08/19/2021
Last updated
11/07/2024
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