Healthcare Provider Details

I. General information

NPI: 1083614580
Provider Name (Legal Business Name): JANE M RICE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANE M HAGER

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 03/07/2023
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 N 7TH ST
CHAMBERSBURG PA
17201-1720
US

IV. Provider business mailing address

785 5TH AVE SUITE 3
CHAMBERSBURG PA
17201-4232
US

V. Phone/Fax

Practice location:
  • Phone: 717-217-4300
  • Fax: 717-217-4217
Mailing address:
  • Phone: 717-263-9555
  • Fax: 717-217-4217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberSP007279
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP007279
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: