Provider Demographics
NPI:1508377672
Name:RUIZ, JOSLIN DEYIBETH (FNP-C)
Entity Type:Individual
Prefix:
First Name:JOSLIN
Middle Name:DEYIBETH
Last Name:RUIZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 WAIANAE CT
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-2036
Mailing Address - Country:US
Mailing Address - Phone:512-779-2779
Mailing Address - Fax:
Practice Address - Street 1:124 WAIANAE CT
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-2036
Practice Address - Country:US
Practice Address - Phone:772-217-4557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-17
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135312363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily