Individual
PRUDENCE JARVIE-KUPETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
694 GOOD DR STE 112, LANCASTER, PA 17601-2433
(717) 397-8177
Mailing address
83 GENTLENESS DR, EPHRATA, PA 17522-9106
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP030363
PA
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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