| Doctor Name: | JEAN ELAINE RUDISILL |
| NPI Number: | 1396703963 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | UP003372C |
| Business Practice Address: | 3065 Windsor Rd Red Lion, PA - 173568533 |
| Business Phone Number: | 7178511700 |
| Business Fax Number: | 7178511710 |
| Mailing Address: | 3421 Concord Rd, YORK |
| State: | PA |
| Postal Code: | 174029001 |
| Phone Number: | 7178511700 |
| Fax Number: | 7178511710 |
| NPI Enumeration Date: | 05/03/2006 |
| NPI Last Update Date: | 02/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | UP003372C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |