Individual provider · Type 1 NPI
Jessica Ruiz Balderrama
Pediatric Nurse Practitioner · Lubbock, TX
NPI number
1902506512
Active
Practice location
3601 4th St
Lubbock, TX 79430-5055
Fax (806) 743-7329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 1001745 (TX) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1902506512
Jessica Ruiz Balderrama's National Provider Identifier is 1902506512, issued on Mar 3, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lubbock, TX. The record was last updated on Apr 1, 2026.