Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER L. RUCKELSHAUS, PA
ActiveJENNIFER L. RUCKELSHAUS, PA is a Medical Physician Assistant healthcare provider located in JACKSON, California. NPI 1528171287 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · JACKSON, CA
Registration Details
- NPI Number
- 1528171287
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2006 (19.977216582395 yrs)
- Last Updated
- Mar 5, 2020
- License
-
PA13030 (CA)
Practice Information
- Address
-
200 MISSION BOULEVARDJACKSON, CA, 956422564Browse CA providers · Browse ZIP 95642
- Phone
- 2092237500
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in JACKSON, CA
| Name | Credential | NPI |
|---|---|---|
| KELLY ELIZABETH GRAVER PATE | PA-C | 1184633935 |
| MARIANNE ELIZABETH LAPOINTE | — | 1225167356 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.