Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 20101 | MS |
NPI | 1003020348 |
---|---|
Provider Name | Dr. Jennifer Rippon |
First Address | Keesler Afb, MS 39534-2508 |
Second Address | Keesler Afb, MS 39534-2508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 15/03/2010 |