Healthcare Provider Details

I. General information

NPI: 1952813859
Provider Name (Legal Business Name): JENNIFER MARY RICE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2017
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 W MAIN ST STE 512
FRANKFORT KY
40601-1840
US

IV. Provider business mailing address

3375 US ROUTE 60
HUNTINGTON WV
25705-2837
US

V. Phone/Fax

Practice location:
  • Phone: 574-546-1900
  • Fax: 574-546-1999
Mailing address:
  • Phone: 304-525-7851
  • Fax: 304-525-1504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN93779NP
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3011642
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0036403
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: