Provider Demographics
NPI:1326934209
Name:RUCKER SWETT, EMMA COLLEEN
Entity type:Individual
Prefix:MISS
First Name:EMMA
Middle Name:COLLEEN
Last Name:RUCKER SWETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMMA
Other - Middle Name:
Other - Last Name:SWETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:601 COURT ST STE 210
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:CA
Mailing Address - Zip Code:95642-2163
Mailing Address - Country:US
Mailing Address - Phone:209-257-1980
Mailing Address - Fax:209-257-1989
Practice Address - Street 1:601 COURT ST STE 210
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:CA
Practice Address - Zip Code:95642-2163
Practice Address - Country:US
Practice Address - Phone:209-257-1980
Practice Address - Fax:209-257-1989
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist