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Jessica Ruiz Balderrama
Pediatric Nurse Practitioner in Midland, Texas
NPI 1902506512

Jessica Ruiz Balderrama is a Pediatric Nurse Practitioner based in Midland, TX and is specialized in Pediatrics. Jessica Ruiz Balderrama practices in Midland, TX. The NPI Number for Jessica Ruiz Balderrama is 1902506512 and holds a License No. 1001745 (Texas).

The current practice location address for Jessica Ruiz Balderrama is 5801 W Wadley Ave, Midland, TX and can be reached out via phone at 432-699-2636.

Location: 5801 W Wadley Ave, Midland, TX, 79701-8208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902506512
Provider Name
Jessica Ruiz Balderrama
Credential
Provider Entity Type
Individual
Gender
Female
Address
5801 W Wadley Ave, Midland, TX, 79701-8208
Phone Number
432-699-2636
Fax Number
Provider Enumeration Date
03/03/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1001745 01 TX TEXAS BOARD OF NURSING APRN-CNP LICENSE NUMBER
47598 01 TX TEXAS BOARD OF NURSING PRESCRIPTIVE AUTHORITY NUMBER
institution
Provider Business Practice Location Address Details
Address
5801 W Wadley Ave
City
Midland
State
Texas
Zip
79707-5055
Phone Number
432-699-2636
Fax Number
person
Provider Business Mailing Address Details
Address
5801 W Wadley Ave
City
Midland
State
Texas
Zip
79707-5055
Phone Number
432-699-2636
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
1001745 (Texas)
Definition
Definition to come...
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