Individual provider · Type 1 NPI

Nicole Forrester Rucker, FNP-BC

Family Nurse Practitioner · Moultrie, GA

NPI number 1467217232 Active

Practice location

3131 S Main St
Moultrie, GA 31768-6925

Call (229) 890-3418 Map

Mailing address

165 E Walton St
Baconton, GA 31716-7705

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	RN271979 (GA)

Family Nurse Practitioner: Definition to come...

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About NPI 1467217232

Nicole Forrester Rucker, FNP-BC's National Provider Identifier is 1467217232, issued on Feb 20, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Moultrie, GA. The record was last updated on Nov 12, 2024.