Organization
REVITALIZE HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER RUCKER FNP-C (NURSE PRACTITIONER/OWNER)
(816) 935-6072
Entity
Organization
Contact information
Practice address
529 SE 2ND ST, LEES SUMMIT, MO 64063-2694
(816) 935-6072
Mailing address
100 SE MORELAND SCHOOL RD, BLUE SPRINGS, MO 64014-5037
(816) 935-6072
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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