Pearl Rose Rucker
Pearl Rose Rucker is a Psychiatric/Mental Health Nurse Practitioner in Baltimore, Maryland. Licensed in Georgia and Maryland. Registered with an NPI since 2021.
- Licensed in
- GA, MD
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
9309 Belair Rd Ste DBaltimore, MD 21236-1605
Phone: (410) 505-7952
Fax: (410) 701-3845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence AC004015 (MD) |
|---|---|
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X · Licence RN230900 (GA) |
Record details
| NPI number | 1003495557 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 2, 2021 |
| Last updated in NPPES | December 1, 2021 |
| Certification date | December 1, 2021 |
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