Provider Demographics
NPI:1083614580
Name:RICE, JANE M (CRNP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:M
Last Name:RICE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:M
Other - Last Name:HAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:785 5TH AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4217
Practice Address - Street 1:112 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1720
Practice Address - Country:US
Practice Address - Phone:717-217-4300
Practice Address - Fax:717-217-4217
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007279363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA120420401OtherDEPT OF LABOR
PA25-1716306OtherHEALTHNET/TRICARE
PA50063568OtherCAPITAL BLUECROSS
PA25-1716306OtherINTERGROUP
PA101308361Medicaid
PA437684OtherHEALTH AMERICA
PASP007279OtherCRNP LICENSE
PA101308361 0001Medicaid
PA867633OtherMEDICARE GROUP #
PA25-1716306OtherDEVON
PA25-1716306OtherMULTIPLAN/PHCS
PA1007307260034OtherMEDICAID GROUP #
PARN343060LOtherRN LICENSE
PARN343060LOtherRN LICENSE
PA437684OtherHEALTH AMERICA
PA101308361 0001Medicaid