Provider Demographics
NPI:1578388781
Name:RIFE, JENNIFER ASHLEY (RN, BSN, IBCLC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ASHLEY
Last Name:RIFE
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17454 NEW BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING RUN
Mailing Address - State:PA
Mailing Address - Zip Code:17262-9706
Mailing Address - Country:US
Mailing Address - Phone:240-315-4024
Mailing Address - Fax:
Practice Address - Street 1:17454 NEW BRIDGE RD
Practice Address - Street 2:
Practice Address - City:SPRING RUN
Practice Address - State:PA
Practice Address - Zip Code:17262-9706
Practice Address - Country:US
Practice Address - Phone:240-315-4024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN730942163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant