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1245854801
JESSICA RIDGE
INDIANAPOLIS, IN
NPI
1245854801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28177768A)
Enumeration Date
2020-05-29
Last Update Date
2023-09-20
Business Address
JESSICA RIDGE NP
2485 DIRECTORS ROW STE D
INDIANAPOLIS, IN 46241-4907
Phone number: 317-925-0653
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Mailing Address
JESSICA RIDGE NP
1557 BROYLES LN
INDIANAPOLIS, IN 46231-1054
Phone number: 812-272-7801
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