Individual
JESSICA RUIZ BALDERRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-5055
(806) 743-7335
(806) 743-7329
Mailing address
3601 4TH ST, LUBBOCK, TX 79430-0002
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1001745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001745
TEXAS BOARD OF NURSING APRN-CNP LICENSE NUMBER
TX
01
—
47598
TEXAS BOARD OF NURSING PRESCRIPTIVE AUTHORITY NUMBER
TX
Enumeration date
03/03/2023
Last updated
04/01/2026
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