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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255932539

Jordan Taylor Rucks is a Student in an Organized Health Care Education/Training Program in Centereach, New York. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

17 Hollingsworth Pl
Centereach, NY 11720-2111
Phone: (772) 214-5356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1255932539
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing address17 Hollingsworth Pl, Centereach, NY 11720-2111

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