Healthcare Provider Details

I. General information

NPI: 1497245096
Provider Name (Legal Business Name): JODI RIPEPI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2018
Last Update Date: 05/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3928 WASHINGTON RD STE 230
MC MURRAY PA
15317-2594
US

IV. Provider business mailing address

3928 WASHINGTON RD STE 230
MC MURRAY PA
15317-2594
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-1866
  • Fax: 724-941-6751
Mailing address:
  • Phone: 724-941-1866
  • Fax: 724-941-6751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberUP006367V
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: