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CHRYSTAL LEVERN RUCKER RN
NPI 1033994504
Nurse Practitioner - Family in Greenville, SC

Active since August 31, 2023
10 ENTERPRISE BLVD STE 109, GREENVILLE, SC 29615(864) 458-7141(864) 676-9116 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chrystal Levern Rucker Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSTAL LEVERN RUCKER RN (NPI 1033994504) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (27927) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1033994504
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHRYSTAL LEVERN RUCKERCredential: RN
Location Address10 ENTERPRISE BLVD STE 109Greenville, SC 29615-3534
Mailing Address104 Misty LnBelton, SC 29627-9576 · (864) 940-1250
Phone(864) 458-7141
Fax(864) 676-9116
Sole ProprietorNo
Enumeration DateAugust 31, 2023
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1033994504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 27927
Also ListedRegistered NurseTaxonomy 163W00000X · License 103315 (SC)
10 ENTERPRISE BLVD STE 109, Greenville, SC 29615
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RED TIDE RE LLC
Anesthesiology
10 ENTERPRISE BLVD STE 109
GREENVILLE, SC 29615
Greenville County (864) 813-7226
UPSTATE SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
10 ENTERPRISE BLVD STE 109
GREENVILLE, SC 29615
Greenville County (864) 813-7226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chrystal Rucker's NPI number?

The NPI number for Chrystal Rucker is 1033994504. It was assigned to this individual provider in the NPPES registry on August 31, 2023.

Where is Chrystal Rucker located?

Chrystal Rucker practices at 10 Enterprise Blvd Ste 109, Greenville, SC 29615. The listed phone number is (864) 458-7141.

What is Chrystal Rucker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Chrystal Rucker was last updated on September 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.