Individual
MISS JAMIE L. RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
(215) 351-5560
(267) 536-4191
Mailing address
1144 LOCUST ST, PHILADELPHIA, PA 19107-6734
(215) 351-5560
(267) 536-4191
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052812
PA
Other
Enumeration date
06/29/2007
Last updated
11/05/2022
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