Individual
JILL RICCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1355 COUNTY LINE RD, E GREENVILLE, PA 18041-2009
(267) 377-7219
Mailing address
1154A W MAIN ST, STROUDSBURG, PA 18360-1323
(570) 424-1235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019694
PA
Other
Enumeration date
12/04/2018
Last updated
05/20/2021
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