JESSICA ROSE RUTKOSKI (NPI# 1063995421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063995421 |
| Entity Type | Individual |
| Full Name | JESSICA ROSE RUTKOSKI |
| Credential | CRNP |
| Practice Address |
6454 Route 405 Hwy Muncy PA 17756-6388 |
| Mailing Address |
645 N 12th St Ste 101 Lemoyne PA 17043-1219 |
| Practice Telephone | 5705467009 |
| Mailing Telephone | 5704179985 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2019-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP019245 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6454 Route 405 Hwy, Muncy, PA 17756 | 5705467009 |
| Street Address |
6454 ROUTE 405 HWY |
| City | MUNCY |
| State | PA |
| Zip Code | 17756-6388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043758501 | David Granville White | Dentist | 6454 Route 405 Hwy, Muncy, PA 17756-6388 | 2017-02-05 |
| 1073130100 | Colby Heintzelman | Physician Assistant | 6454 Route 405 Hwy, Muncy, PA 17756-6388 | 2020-07-06 |
| 1699300954 | Viorica Valentin Velott | Nurse Practitioner | 6454 Route 405 Hwy, Muncy, PA 17756-6388 | 2020-03-06 |
| 1245740356 | Russell Earl Bohner | Nurse Practitioner | 6454 Route 405 Hwy, Muncy, PA 17756-6388 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830653 | Jeff Minor | Pharmacist | 1271 E Penn St, Muncy, PA 17756 | 2018-11-19 |
| 1730661422 | Erika E Mabus Od PC | Optometrist | 2214 Pa-405, Muncy, PA 17756 | 2018-08-30 |
| 1649672833 | Bethany Lauren Stroup | Occupational Therapist | 215 E. Water St., Genesis Rehabilitation Services, Susquehanna Health, Muncy, PA 17756 | 2014-09-19 |
| 1861826430 | Brian D Shiptoski | Nurse Practitioner | 6454 Rt 405 Hwy, Sci-muncy, Muncy, PA 17756 | 2013-08-30 |
| 1770741894 | Families United Network Inc | Foster Care Agency | 276 Ashler Manor Drive, Pennsdale, PA 17756 | 2008-05-27 |
| 1578674826 | Harrison Gooderham Mccormick | Social Worker | 1881 Bitler Hill Road, Muncy, PA 17756 | 2006-08-31 |
| 1316908742 | Anita Nagpal | Physician Assistant | 604 Fox Hollow Circle, Muncy, PA 17756 | 2006-03-28 |
| 1578546685 | Hamptons Chiropractic Inc | Chiropractor | 2848 Route 405 Highway, Muncy, PA 17756 | 2005-11-22 |
| 1699111229 | Rose A. Trevouledes | Dietitian, Registered | 10 Shady Lane, Suite 202, Muncy, PA 17756 | 2013-05-22 |
| 1083615538 | Melinda A Mckee | Chiropractor | 18 N Washington St, Muncy, PA 17756-1111 | 2005-08-09 |
| Find all providers in zip 17756 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245740356 | Russell Earl Bohner | Nurse Practitioner | 6454 Route 405 Hwy, Muncy, PA 17756-6388 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152544 | Jeanne Denise Howell | Nurse Practitioner | 6019 Saddlehorn Dr, Erie, PA 16506-4721 | 2020-10-20 |
| 1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
| 1548875875 | Marisa Savic | Nurse Practitioner | 1 Medical Center Blvd Ste 407, Chester, PA 19013-3902 | 2020-09-14 |
| 1972117976 | Matthew Hunter | Nurse Practitioner | 728 Westerly Pkwy, State College, PA 16801-4226 | 2020-09-07 |
| 1801400817 | Monarch Psychiatric Services, P.C. | Nurse Practitioner | 103 N Gilpin St Ste 306, Punxsutawney, PA 15767-2055 | 2020-09-07 |
| 1154934412 | Ashley Scott Foster | Nurse Practitioner | 1701 Timberidge Dr, Bethel Park, PA 15102-4043 | 2020-08-26 |
| 1699385146 | Renee Lucci | Nurse Practitioner | 15 Douglas St, Ambler, PA 19002-4941 | 2020-08-08 |
| 1184233660 | Care Therapy | Nurse Practitioner | 610 Pittsburgh St, Scottdale, PA 15683-1651 | 2020-07-30 |
| 1184233926 | Jessica L Parente | Nurse Practitioner | 4067 Howley St, Pittsburgh, PA 15224-1439 | 2020-07-28 |
| 1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JESSICA ROSE RUTKOSKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.