Jordan Taylor Rucks is a student in an organized health care education training program in Centereach, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jordan Taylor Rucks NPI is 1255932539. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
17 HOLLINGSWORTH PL
CENTEREACH, NY
ZIP 11720-111
Phone: (772) 214-5356
The enumeration date for this NPI number is 11/4/2020 and was last updated on 11/4/2020.