Healthcare Provider Details

I. General information

NPI: 1790603991
Provider Name (Legal Business Name): MEGAN RUCKMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

493 MEDICAL PARK DR
MARSHALL NC
28753-3901
US

IV. Provider business mailing address

45 HILLCREST RD
ASHEVILLE NC
28804-1212
US

V. Phone/Fax

Practice location:
  • Phone: 828-649-3531
  • Fax:
Mailing address:
  • Phone: 704-641-1877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number5024838.
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: