Jennifer Ruth Bobish, CRNP
Individual provider Active NPI Nurse Practitioner · Beaver, PA
NPI 1003883166 · NPPES record last updated Oct 9, 2020
Key facts
- NPI
- 1003883166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- SP003716G (PA)
- Practice address
- 350 3Rd St
Beaver, PA 15009-2261 - Phone
- (724) 774-3232
- Fax
- (724) 774-4606
- NPI assigned
- Mar 7, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP003716G | PA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP003716G | PA | Yes |
Addresses
Primary practice location
350 3Rd St
Beaver, PA 15009-2261
Mailing address
PO Box 155
Cheswick, PA 15024-0155
Phone (412) 826-1065
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00306441 | Other | RAILROAD MEDICARE |
Other providers in Beaver, PA
- Sawina Bhandari
- Dinesh Bhaskaran
- Prasad Balkrishna Bichu
- Bluestem Behavioral Health
- Bluestem Behavioral Health Group LLC
- Lorrie Bollard
- Lori Bollen
- Michael August Boyd
- Amy Lynn Boyer
- Karen Frank Boyer
All providers in Beaver, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.