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NPI Code Detail

MEDICARE: JASMINE RUIZ FNP-C

MEDICARE: JASMINE RUIZ FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1221027TX
2363LF0000XFamily Nurse PractitionerAPRN-5811HI
3363LF0000XFamily Nurse Practitioner10058453OR
4363LF0000XFamily Nurse Practitioner95025242CA
5363LF0000XFamily Nurse Practitioner209.027468IL

General Provider Information

NPI Number : 1780368886
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE RUIZ FNP-C
Provider Business Mailing Address
First Line : 263 CHURCH AVE
Second Line :
City : CHULA VISTA
State : CA
Zip : 91910-2728
Country : US
Telephone Number : 619-422-1324
Fax Number :
Provider Business Practice Location Address
First Line : 200 S WACKER DR FL 31
Second Line :
City : CHICAGO
State : IL
Zip : 60606-5877
Country : US
Telephone Number : 866-849-0692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2023
Last Update Date : 04/10/2026

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Directions to “ JASMINE RUIZ FNP-C” Practice Location

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