Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | SP007279 | PA |
N | 363LP2300X | Nurse Practitioner - Primary Care | SP007279 | PA |
NPI | 1083614580 |
---|---|
Provider Name | Jane M Rice |
First Address | Chambersburg, PA 17201-4232 |
Second Address | Chambersburg, PA 17201-1720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2005 |
Last Update Date | 01/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1007307260034 | MEDICAID GROUP # (01) | PA |
101308361 | (05) | PA |
101308361 0001 | (05) | PA |
120420401 | DEPT OF LABOR (01) | PA |
25-1716306 | DEVON (01) | PA |
25-1716306 | HEALTHNET/TRICARE (01) | PA |
25-1716306 | INTERGROUP (01) | PA |
25-1716306 | MULTIPLAN/PHCS (01) | PA |
437684 | HEALTH AMERICA (01) | PA |
50063568 | CAPITAL BLUECROSS (01) | PA |
867633 | MEDICARE GROUP # (01) | PA |
MR0916265 | DEA (01) | PA |
P67619 | (02) | PA |
RN343060L | RN LICENSE (01) | PA |
SP007279 | CRNP LICENSE (01) | PA |