Provider Demographics
NPI:1972514578
Name:RUFFIN, JESSICA M (MD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:M
Last Name:RUFFIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1727 KIRBY PARKWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120
Mailing Address - Country:US
Mailing Address - Phone:901-767-3810
Mailing Address - Fax:901-682-2920
Practice Address - Street 1:1727 KIRBY PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120
Practice Address - Country:US
Practice Address - Phone:901-767-3810
Practice Address - Fax:901-682-2920
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2017-12-11
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Provider Licenses
StateLicense IDTaxonomies
TN38511207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNI25228Medicare UPIN