Regina Channell Ruffin, NP
Nurse Practitioner, Family in Griffith, IN. Individual provider (NPI-1).
NPI number1164084133
StatusActive
Last updated in NPPESMar 18, 2025
Details
- NPI
- 1164084133
- Entity type
- Individual (NPI-1)
- Name
- Regina Channell Ruffin
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2019
- Certification date
- Mar 18, 2025
- Last updated
- Mar 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71013320A | IN | Yes |
| 363LF0000X | Nurse Practitioner, Family | 209019415 | IL |
Practice location
1923 W Glen Park AveGriffith, IN 46319-3703
Phone 219-922-2535
Mailing address
1923 W Glen Park AveGriffith, IN 46319-3703
Phone 219-922-2535
Other practice locations
606 Gordon Ter
University Park, IL 60484-2716
University Park, IL 60484-2716
Phone 773-891-2372
1400 Otto Blvd
Chicago Heights, IL 60411-3871
Chicago Heights, IL 60411-3871
Phone 708-733-7200 · Fax 708-733-7222
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