Individual
JILL RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN PMHNP AND FNP
Contact information
Practice address
3750 HEATHERWOOD DR APT L5, HAMBURG, NY 14075-2272
(694) 693-3044
Mailing address
PO BOX 68049, NEWARK, NJ 07101-8085
(469) 693-3044
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
676803
TX
363LF0000X
Family Nurse Practitioner
F351891
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404957
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
676803
LICENSE
TX
01
—
F351891
NY FNP
NY
01
—
F404957
NY PMHNP
NY
Enumeration date
08/28/2006
Last updated
09/24/2024
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