Rippy, Jennifer

Rippy, Jennifer is an individual health care provider with primary practice located at 1720 S Beckham Ave Ste 104 , Tyler TX 75701-4464. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Rippy, Jennifer can be contacted via phone (903) 597-2002.

Contact Information

Primary practice address
1720 S Beckham Ave Ste 104 Tyler TX 75701-4464
Phone: (903) 597-2002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 641497 Texas

Profile Details

NPI number 1366497992
LBN Legal business name Rippy, Jennifer
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Apr 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366497992 NPPES
Texas Other P01855331 MEDICARE RAIL ROAD
Texas MEDICAID 168366604 MEDICARE RAIL ROAD
Texas Other P00667355 MEDICARE RAIL ROAD
Texas MEDICAID 168366602 MEDICARE RAIL ROAD

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