JASON RUCKER

SPENCER, OK
NPI1215288691
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OK  R0095226)
Enumeration Date2012-09-26
Last Update Date2025-07-17
Business Address
Mr. JASON RUCKER PMHNP
PO BOX 52
SPENCER, OK 73084-0052
Phone number: 405-501-8424
Mailing Address
Mr. JASON RUCKER PMHNP
PO BOX 52
SPENCER, OK 73084-0052
Phone number: 405-501-8424