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General NPI Number Information
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NPI Number | 1558548297
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Entity Type | Individual
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Provider Name | JAMIE RENAE RUCKS A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 125 COOL SPRINGS BLVD STE 280
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City | FRANKLIN
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State | TN
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Zip | 37067-6575
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Country | US
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Telephone | 615-724-1878
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Fax |
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Provider Business Mailing Address
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Address Line | 2178 MULBERRY DOWNS CIR
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City | NASHVILLE
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State | TN
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Zip | 37207-3077
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Country | US
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Telephone | 615-977-7712
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000016152
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License Number State | TN
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