Individual provider · Type 1 NPI
Chrystal Levern Rucker, RN
Family Nurse Practitioner · Greenville, SC
NPI number
1033994504
Active
Practice location
10 Enterprise Blvd Ste 109
Greenville, SC 29615-3534
Fax (864) 676-9116
Mailing address
104 Misty Ln
Belton, SC 29627-9576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 103315 (SC) |
| Family Nurse Practitioner Primary | 363LF0000X | 27927 (SC) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1033994504
Chrystal Levern Rucker, RN's National Provider Identifier is 1033994504, issued on Aug 31, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Greenville, SC. The record was last updated on Sep 22, 2023.