Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prudence Jarvie-Kupetz, CRNP

Individual provider Women's Health Nurse Practitioner · NPI 1538991815

Prudence Jarvie-Kupetz, CRNP is a Nurse Practitioner in Lancaster, Pennsylvania. Graduated from Drexel University College of Medicine in 2024, 2 years ago. Practices with Lancaster General Medical Group, a 582-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Trained at
Drexel University College of Medicine
Licensed in
PA
In the registry since
2024
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

694 Good Dr Ste 112
Lancaster, PA 17601-2433
Phone: (717) 397-8177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence SP030363 (PA)

Record details

NPI number1538991815
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 15, 2024
Last updated in NPPESAugust 15, 2024
Certification dateAugust 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Lancaster General Medical Group — 582 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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