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NPI Code Detail

MEDICARE: DR. JENNIFER ANN RICE M.D.

MEDICARE: DR. JENNIFER ANN RICE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician8167AWY
2207Q00000XFamily Medicine Physician46065CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18167AOTHERWYWY MEDICAL LICENSE

General Provider Information

NPI Number : 1336229624
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER ANN RICE M.D.
Provider Business Mailing Address
First Line : 497 W LOTT ST
Second Line :
City : BUFFALO
State : WY
Zip : 82834-1658
Country : US
Telephone Number : 307-684-2228
Fax Number : 307-684-2177
Provider Business Practice Location Address
First Line : 497 W LOTT ST
Second Line :
City : BUFFALO
State : WY
Zip : 82834-1658
Country : US
Telephone Number : 307-684-2228
Fax Number : 307-684-2177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 03/07/2023

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