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

Jillianne Russi Ruppert, PA

Individual provider Physician Assistant · NPI 1740833565

Jillianne Russi Ruppert, PA is a Physician Assistant in Nipomo, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

150 Tejas Pl
Nipomo, CA 93444-9123
Phone: (805) 929-3211
Fax: (805) 929-6359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1740833565
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 21, 2019
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

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