MEDICARE: MS. JENNIFER LYNN RUCKER F.N.P.

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
1	163W00000X	Registered Nurse	119713-030	WI
2	363LF0000X	Family Nurse Practitioner	209010913	IL
3	363L00000X	Nurse Practitioner	846819	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205887205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER LYNN RUCKER F.N.P.

Provider Business Mailing Address
First Line	:	3920 W WHEATLAND RD
Second Line	:	SUITE 134
City	:	DALLAS
State	:	TX
Zip	:	75237-3401
Country	:	US
Telephone Number	:	214-941-3192
Fax Number	:	877-959-4622

Provider Business Practice Location Address
First Line	:	3920 W WHEATLAND RD
Second Line	:	SUITE 134
City	:	DALLAS
State	:	TX
Zip	:	75237-3401
Country	:	US
Telephone Number	:	214-941-3192
Fax Number	:	877-959-4622

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2006
Last Update Date	:	03/28/2024

Similar Medicare Providers

1205887577 — JAYNISH PATEL MD
Practice Location Address:

3920 W WHEATLAND RD STE 108
DALLAS, TX
75237-3401

Practice Phone: 469-966-1470
Practice Fax: 469-300-2733

1043221989 — DONALD LEVESTER BLAIR II M.D.
Practice Location Address:

3920 W WHEATLAND RD , SUITE 108
DALLAS, TX
75237-3401

Practice Phone: 214-948-7779
Practice Fax: 214-948-9977

1588727747 — DR. CECILY MICHELLE JOHNSON M.D.
Practice Location Address:

3920 W WHEATLAND RD , SUITE 108
DALLAS, TX
75237-3401

Practice Phone: 214-948-7779
Practice Fax: 904-244-3658

1508922873 — PARKSIDE OASIS INC
Practice Location Address:

3920 W WHEATLAND RD , STE 100
DALLAS, TX
75237-3401

Practice Phone: 972-572-9006
Practice Fax: 972-572-9016

1902923543 — SHARON YVETTE ROBERTS NURSE PRACTITIONER
Practice Location Address:

3920 W WHEATLAND RD , SUITE 108
DALLAS, TX
75237-3401

Practice Phone: 214-948-7779
Practice Fax: 214-948-9977

1972704807 — DR. LUKE A CARLSON MD
Practice Location Address:

3920 W WHEATLAND RD STE 108
DALLAS, TX
75237-3401

Practice Phone: 469-341-5997
Practice Fax:

Directions to “ MS. JENNIFER LYNN RUCKER F.N.P.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.