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JORDAN TAYLOR RUCKS
NPI 1255932539
Student in an Organized Health Care Education/Training Program in Centereach, NY

Active since November 04, 2020
17 HOLLINGSWORTH PL, CENTEREACH, NY 11720(772) 214-5356 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Taylor Rucks NPPES

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

JORDAN TAYLOR RUCKS (NPI 1255932539) is an individual student in an organized health care education/training program in Centereach, New York and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1255932539
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJORDAN TAYLOR RUCKS
Location Address17 HOLLINGSWORTH PLCentereach, NY 11720-2111
Mailing Address17 Hollingsworth PlCentereach, NY 11720-2111 · (772) 214-5356
Phone(772) 214-5356
Sole ProprietorNo
Enumeration DateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
✔ NPI 1255932539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
17 HOLLINGSWORTH PL, Centereach, NY 11720
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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 Jordan Rucks's NPI number?

The NPI number for Jordan Rucks is 1255932539. It was assigned to this individual provider in the NPPES registry on November 4, 2020.

Where is Jordan Rucks located?

Jordan Rucks practices at 17 Hollingsworth Pl, Centereach, NY 11720. The listed phone number is (772) 214-5356.

What is Jordan Rucks's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Rucks was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.