Individual ProviderJessica Lynne RuizNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address15715 S 46th St, Suite 102, Phoenix, AZ 85048-0438(480) 496-6444PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Lynne Ruiz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1629473236Provider TypeIndividualFull NameRuiz, Jessica LynneCredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date10/24/2014Last Updated10/24/2014Contact InformationPractice LocationPractice Address15715 S 46th St, Suite 102, Phoenix, AZ 85048-0438Phone(480) 496-6444Fax(480) 496-9688Mailing LocationMailing Address15715 S 46th St, Suite 102, Phoenix, AZ 85048-0438Phone(480) 496-6444Fax(480) 496-9688Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP7370Arizona