Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jayvana Rucker

Individual provider Prosthetist · NPI 1215711064

Jayvana Rucker is a Prosthetist in Syracuse, New York. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

755 N Salina St
Syracuse, NY 13208-2510
Phone: (315) 455-9090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X
Prosthetist Taxonomy 224P00000X

Record details

NPI number1215711064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2023
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address755 N Salina St, Syracuse, NY 13208-2510

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