Organization · Type 2 NPI

St. Ruth Behavioral Health LLC

Nurse Practitioner · Tucker, GA

NPI number 1972460194 Active

Practice location

1841 Montreal Rd Ste 110E
Tucker, GA 30084-5713

Mailing address

939 Ashton Park Ct
Lawrenceville, GA 30045-7055

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1972460194

St. Ruth Behavioral Health LLC's National Provider Identifier is 1972460194, issued on Jan 8, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tucker, GA. The record was last updated on Jan 8, 2026.