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1275100505
JESSICA RIDER
DURHAM, NC
NPI
1275100505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NC RIDE-NSULV)
Enumeration Date
2021-06-07
Last Update Date
2021-06-07
Business Address
JESSICA RIDER FNP
1301 FAYETTEVILLE ST
DURHAM, NC 27707-2325
Phone number: 919-956-4011
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Mailing Address
JESSICA RIDER FNP
913 VARIFORM DR
DURHAM, NC 27712-3697
Phone number: 234-281-8056
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