Provider Demographics
NPI:1902604200
Name:COMPTON, RUBY (FNP-C)
Entity type:Individual
Prefix:
First Name:RUBY
Middle Name:
Last Name:COMPTON
Suffix:
Gender:
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 1:3910 BROOK HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76904-5989
Mailing Address - Country:US
Mailing Address - Phone:325-277-3156
Mailing Address - Fax:
Practice Address - Street 1:3910 BROOK HOLLOW LN
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-5989
Practice Address - Country:US
Practice Address - Phone:325-277-3156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1069029363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily