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Individual

JANE M RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 217-4300
(717) 217-4217
Mailing address
785 5TH AVE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP007279
PA
363LP2300X
Primary Care Nurse Practitioner
SP007279
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1007307260034
MEDICAID GROUP #
PA
05
101308361
PA
05
101308361 0001
PA
01
120420401
DEPT OF LABOR
PA
01
25-1716306
HEALTHNET/TRICARE
PA
01
437684
HEALTH AMERICA
PA
01
50063568
CAPITAL BLUECROSS
PA
01
867633
MEDICARE GROUP #
PA
01
RN343060L
RN LICENSE
PA
01
SP007279
CRNP LICENSE
PA
Enumeration date
07/26/2005
Last updated
03/07/2023
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