Individual
JENNIFER L RUPPERSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1115 ASBURY RD, CINCINNATI, OH 45255-4411
(207) 330-6411
Mailing address
1115 ASBURY RD, CINCINNATI, OH 45255-4411
(330) 207-6411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA719
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100231720
—
KY
Enumeration date
10/06/2006
Last updated
08/06/2019
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