Provider Demographics
NPI:1528470754
Name:RICE, JEANNE NOLAN (AP, DOM)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:NOLAN
Last Name:RICE
Suffix:
Gender:F
Credentials:AP, DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3473 PINE HAVEN CIR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-5459
Mailing Address - Country:US
Mailing Address - Phone:561-271-3594
Mailing Address - Fax:
Practice Address - Street 1:495 NE 4TH ST
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-4542
Practice Address - Country:US
Practice Address - Phone:561-271-3594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-22
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3437171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist