Jackson, Ruth V

Jackson, Ruth V is an individual health care provider with primary practice located at 415 N 9Th St 4W16, Springfield IL 62702-5303. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jackson, Ruth V can be contacted via phone (800) 331-2229.

Contact Information

Primary practice address
415 N 9Th St 4W16 Springfield IL 62702-5303
Phone: (800) 331-2229
Fax: (217) 757-6844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-003223 Illinois

Profile Details

NPI number 1144437815
LBN Legal business name Jackson, Ruth V
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Feb 15th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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