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JESSICA ROSE RUTKOSKI CRNP
NPI 1063995421
Nurse Practitioner - Psychiatric/Mental Health in Muncy, PA

Active since September 12, 2018
6454 ROUTE 405 HWY, MUNCY, PA 17756(570) 546-7009 Get Directions Write a Review

NPPES record last updated: August 18, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 18, 2019, Sep 12, 2018 (2 updates tracked since 2018).

About Jessica Rose Rutkoski Crnp NPPES

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

JESSICA ROSE RUTKOSKI CRNP (NPI 1063995421) is an individual psychiatric/mental health provider in Muncy, Pennsylvania, licensed in Pennsylvania (SP019245) and active in the NPI registry since September 2018. She maintains a secondary practice location in Muncy.

NPPES Registry Identity

NPI1063995421
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA ROSE RUTKOSKICredential: CRNP
Location Address6454 ROUTE 405 HWYMuncy, PA 17756-6388
Mailing Address645 N 12th St Ste 101Lemoyne, PA 17043-1219 · (570) 417-9985
Phone(570) 546-7009
Sole ProprietorNo
Enumeration DateSeptember 12, 2018
Last NPPES UpdateAugust 18, 20192 updates tracked since enumeration
✔ NPI 1063995421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP019245
6454 ROUTE 405 HWY, Muncy, PA 17756
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Secondary Practice Location 1

Location 16454 Route 405 HwyMuncy, PA 17756 · Phone (570) 546-7009

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.

DAVID GRANVILLE WHITE D.D.S.
Dentist
6454 ROUTE 405 HWY
MUNCY, PA 17756
Lycoming County (570) 546-3171
MR. RUSSELL EARL BOHNER CRNP
Nurse Practitioner (Psychiatric/Mental Health)
6454 ROUTE 405 HWY
MUNCY, PA 17756
Lycoming County (570) 546-3171

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 Jessica Rutkoski's NPI number?

The NPI number for Jessica Rutkoski is 1063995421. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Where is Jessica Rutkoski located?

Jessica Rutkoski practices at 6454 Route 405 Hwy, Muncy, PA 17756. The listed phone number is (570) 546-7009.

What is Jessica Rutkoski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jessica Rutkoski was last updated on August 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.