Individual
JENNIFER REBECCA RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
112 MARWOOD RD, CABOT, PA 16023-2239
(724) 352-4448
Mailing address
2013 CONDOR LN, GIBSONIA, PA 15044-8063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN588226
PA
363LF0000X
Family Nurse Practitioner
Primary
SP19351
PA
Other
Enumeration date
07/30/2018
Last updated
07/12/2019
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