Individual
JEAN ELAINE RUDISILL
Active
Individual
JEAN ELAINE RUDISILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
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
Update your record
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