BETTY L RUCKER LPN - NPI 1417213133 - Licensed Practical Nurse in Johnston City, IL

Q: What is Betty Rucker's NPI number?

The NPI number for Betty Rucker is 1417213133. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Q: What is Betty Rucker's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Betty Rucker was last updated on April 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Betty L Rucker Lpn NPPES

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

BETTY L RUCKER LPN (NPI 1417213133) is an individual licensed practical nurse in Johnston City, Illinois, licensed in Illinois (043.061782) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1417213133

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameBETTY L RUCKERCredential: LPN

Location Address14410 ROUTE 37Johnston City, IL 62951-3166

Mailing AddressPo Box 155Christopher, IL 62822-0155 · (618) 724-2436

Phone(618) 983-6911

Sole ProprietorNo

Enumeration DateApril 6, 2012

✔ NPI 1417213133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IL · 043.061782

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

14410 ROUTE 37, Johnston City, IL 62951

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