Jillianne Russi Ruppert, PA

NPI #1740833565 in Nipomo, California

Provider Information

NPI Number: 1740833565
Entity Type: Individual
Name: Jillianne Russi Ruppert, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 21, 2019
Last Updated: Jul 20, 2021

Practice Location

Address: 150 TEJAS PL
City: Nipomo
State: California
ZIP Code: 93444-9123
Phone: (805) 929-3211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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