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Jennifer L. Ruckelshaus, PA
Medical Physician Assistant in Jackson, California
NPI 1528171287

Jennifer L. Ruckelshaus is a Medical Physician Assistant based in Sacramento, CA and is specialized in Medical. Jennifer L. Ruckelshaus practices in Jackson, CA and has the professional credentials of PA. The NPI Number for Jennifer L. Ruckelshaus is 1528171287 and holds a License No. PA13030 (California).

The current practice location address for Jennifer L. Ruckelshaus is 200 Mission Boulevard, Jackson, CA and can be reached out via phone at 209-223-7500.

Location: 200 Mission Boulevard, Jackson, CA, 95865-5228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528171287
Provider Name
Jennifer L. Ruckelshaus
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
200 Mission Boulevard, Jackson, CA, 95865-5228
Phone Number
209-223-7500
Fax Number
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA13030 05 CA
institution
Provider Business Practice Location Address Details
Address
200 Mission Boulevard
City
Jackson
State
California
Zip
95642-2564
Phone Number
209-223-7500
Fax Number
person
Provider Business Mailing Address Details
Address
200 Mission Boulevard
City
Jackson
State
California
Zip
95642-2564
Phone Number
209-223-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA13030 (California)
Definition
Definition to come...
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