Individual
JEAN ELAINE RUDISILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
13515 WOLFE RD STE C, NEW FREEDOM, PA 17349-9346
(717) 812-2501
(717) 461-7178
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-2501
(717) 461-7178
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
UP003372C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104975
JOHNS HOPKINS
PA
01
—
1551674
GATEWAY-WMG
PA
01
—
20019576
AMERIHEALTH MERCY
PA
01
—
3006201
CAPITAL BLUE CROSS-WMG
PA
01
—
617962
CAREFIRST MD BCBS
MD
Enumeration date
05/03/2006
Last updated
11/17/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us